截瘫是放射性脊髓炎的后果,是放射治疗最严重的合并症之一,通常根据临床诊断。下面要讨论的这一例,经两个医院的医师们毫不含糊地诊断为“放射性脊髓炎”,但组织学检查证实为脊髓肿瘤。21岁白人有气阻、呼吸困难,双侧锁骨上区淋巴结肿大和纵隔肿块,经活检证实为何杰金氏病,混合细胞型,没有侵及横膈下。病人做了开腹探查 Paraplegia is the consequence of radiation myelitis, and it is one of the most serious complications of radiation therapy, usually based on clinical diagnosis. The example to be discussed below was unequivocally diagnosed as “radioactive myelitis” by physicians of two hospitals, but histological examination confirmed that it was a spinal cord tumor. The 21-year-old Caucasian had air resistance, dyspnea, bilateral supraclavicular lymphadenopathy, and mediastinal mass. Biopsy confirmed why JK disease, mixed cell type, did not invade the diaphragm. The patient did a laparotomy