骨原发性非何杰金氏淋巴瘤X线与CT表现探讨(附8例报告)

目的　探讨骨原发性非何杰金氏淋巴瘤的X线与CT表现及诊断要点。方法　回顾性分析 8例 (B细胞源性 7例 ,T细胞源性 1例 )经临床和病理确诊的X线及CT表现。结果　 6例为单骨 (肱骨、股骨上端、肋骨、髂骨、锁骨及胸椎各 1例 ) ,2例为多骨 (1例侵犯股骨远端及胫骨近段 ,1例侵犯髂骨及耻骨 )。X线表现为浸润型 4例 ,溶骨型、硬化型、混合型和囊状膨胀型各 1例。全部有软组织肿块 ,2例有骨膜反应 ,2例合并病理性骨折。结论　本病常侵犯单骨 ,多表现为虫蚀样浸润性骨破坏和溶骨性骨破坏 ,有软组织肿块。X线诊断困难 ,需密切结合临床和病理

X-ray and CT Diagnosis of Primary Non-Hodgkin Lymphoma of the Bone ( A Report of 8 Cases)

Objective To research X-ray and CT findings and diagnosis of primary non-Hodgkin lymphoma of the bone.Methods The X-ray and CT findings of primary non-Hodgkin lymphoma in 8 patients (B-cell origin in 7,T-cell origin in 1) confirmed by the clinic and pathology were retrospectively analysed. Results The simple bone involved in 6 and multiple bone involved in 2. Radiographic findings were:invasive in 4 , osteolytic, sclerosed, combination and cystiform expansion in each one. All lesions had soft-tissue mass,two cases had periosteal reaction, and two cases had pathologic fracture. Conclusion Primary non-Hodgkin lymphoma of the bone usually involve simple bone. moth-eaten,invasive and osteolytic destruction with soft-tissue masses are most common seen. The diagnose is necessary to combine with clinic and pathological data.