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《Chinese Journal of Medical Imaging Technology》 2006-09
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Imaging findings of primary bone non-Hodgkin lymphoma

LIAO Xin, CHEN Wei-guo, WANG Gang, WU Yuan-kui, KUANG Xiao-feng (Department of Radiology, NanFang Hospital, Southern Medical University, Guangzhou 510515, China)  
Objective To study the imaging features of primary bone non-Hodgkin lymphoma with an emphasis on MRI signal characteristics. Methods A retrospective analysis was performed to assess the radiological and MRI appearance of 21 cases confirmed to be primary bone non-Hodgkin's lymphomas by pathology. Results The lesions involved single bone were 17 cases, others involved multi locations; 14 cases located vertebrae, 11 cases in pelvis, 5 cases in long bone and 1 case in skull. The radiology finds were 16 cases with invasion or osteolysis osteoclasia, 3 cases with invasion osteoclasia and irregular sclerosis, 2 cases with osteolysis osteoclasia and capsular dilatation. The inequalities of size soft tissue tumors were shown in 18 cases; the average diameter of them was 7.36 cm. On MR T1WI, equal signal were 12 cases, others were equal and low signal; on T2WI equal and slight high signal were 12 cases, high signal were 2 cases. After intravenous injection of contrast agent, 10 cases were significant enhancement. Conclusion The predilection site of primary bone non-Hodgkin lymphoma is the single bone of pelvis and vertebrae, the imaging appear small invasion or osteolysis osteoclasia with large soft tissue tumor. The imaging feature of primary bone non-Hodgkin lymphoma is equal or low signal on MR T2WI and obvious enhancement, which have significance in diagnosis and differential diagnosis.
【CateGory Index】: R738.1
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