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《CHINESE JOURNAL OF ORTHOPAEDICS》 1997-07
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MRI Manifestation of Spinal Lymphoma: An Comparison Study with Pathological Findings

Cheng Suihui, Cheng Junkun, Shi Qunli, et al.Department of Radiology, Nanjing General Hospital of PLA, Nanjing 210002  
Purpose: To study MRI manifestation of spinal lymphoma and compared them with pathological findings. Objective: MRI manifestations of 9 surgically proved spinal lymphoma were analysed. Results: The diffused abnormal signal was found in 4, patchy signal in 2 , and mild bulging signal in 2. Paravertebral soft tissue signals included spindle(7/10), long ellipse(1/10), Lumbar spinal canal filling(2/10).Two epidural lesions were located around the cord, two posterior to the cord, and one anterior to the cord. There were no pedicle and laminar involvement. Eight showed equal or slight low signals on T1 weighted images, whereas equal or mixtured signals on T2 weighted images.Mild and moderate enhancement was found in 5, and intense enhancement in one. Pathologically,the former were assoaciated with sparse vascularization and latter with ample one. Conclusions:The bony and soft tissue changes in lymphoma on MRI were complex. The spidle lesions were located in the paravertebral or epidural spaces. The extent of epidural lesions were more diffuse than osseous involvement. The vertebral collapses were less seen with relative normal disks, which cowd be used for differentiated diagnosis for spinal inflammatory diseases from the spinal lymphoma.
【CateGory Index】: R738.1
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