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目的 探讨原发性骨非何金淋巴瘤临床及X线表现 ,为临床诊断和治疗提供有价值的信息。方法 回顾性分析和总结了 14例经临床及病理证实发生于骨的原发性非何杰金淋巴瘤的临床及X线资料 ,其中男 9例 ,女 5例 ,平均年龄 3 5岁 ,病程平均11个月。结果 14例中 ,单发病灶 11例 ,多发病灶 3例 ,病变多发于扁骨及长骨的骨端 ,X线表现为 :骨质破坏的同时伴有部分边缘轻度硬化 ,可侵及关节面 ,破坏关节 ,可出现骨膜反应及软组织肿块。骨质破坏分为溶骨型 (n =8)、成骨型 (n =2 )、囊状扩张型 (n= 3 )及混合型 (n =1)四大类。结论 骨原发性非何杰金氏淋巴瘤有其相对特征性的X线表现 ,再结合临床有关资料 ,可望提高该病的准确诊断率。
Objective To explore the clinical and X-ray features of primary non-Hodgkin’s lymphoma and provide valuable information for clinical diagnosis and treatment. Methods The clinical and X-ray data of 14 cases of primary non-Hodgkin’s lymphomas confirmed to be clinically and pathologically confirmed on bone were retrospectively analyzed and summarized. Among them, 9 were males and 5 were females. The average age was 35 years. An average of 11 months. Results Among the 14 cases, there were 11 single lesions and 3 multiple lesions. The lesions mostly occurred at the bone ends of the flat and long bones. The X-ray showed that the bone destruction was accompanied by mild hardening of some of the edges, which could invade the joint surface. Destruction of joints, periosteal reaction and soft tissue lumps. Bone destruction was divided into four categories: osteolytic (n = 8), osteogenic (n = 2), saccular (n = 3), and mixed (n = 1). Conclusion The primary non-Hodgkin’s lymphoma of bone has its characteristic X-ray features. Combined with clinical data, it is expected to improve the accurate diagnosis rate of the disease.