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目的 研究原发性骨恶性淋巴瘤的X线、CT表现。方法 总结经手术、病理证实的 2 7例原发性骨恶性淋巴瘤的X线、CT表现 ,并联系临床表现、手术、病理所见进行观察。结果 发病部位 :椎骨 5 1.9% ,管状骨 3 3 .3 % ;骨质改变 :骨质破坏为主85 .7% ,骨质硬化为主 7% ;骨膜反应仅见 4例且轻微 ;病灶多发 1例。结论 X线及CT发现椎骨与管状骨骨干的溶骨性恶性病变及软组织肿块应考虑骨淋巴瘤的可能 ,但病变缺乏特征性。
Objective To study the X-ray and CT findings of primary bone malignant lymphoma. Methods The X-ray and CT findings of 27 cases of primary malignant bone lymphoma confirmed by operation and pathology were summarized and the clinical manifestations, surgical and pathological findings were observed. Results The incidence of disease: vertebra 5 1.9%, tubular bone 33.3%; bone changes: the main bone destruction 85.7%, mainly bone sclerosis 7%; periosteal reaction in only 4 cases and mild; lesions 1 example. Conclusion X-ray and CT findings of osteolytic malignant lesions of vertebral and tubular bone and soft tissue mass should consider the possibility of bone lymphoma, but the disease is characterized by lack of features.