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目的:探讨脊柱孤立性浆细胞瘤的MSCT表现,进一步提高对该病认识。方法:结合文献复习,回顾性分析一例经我院确诊的脊柱孤立性浆细胞瘤患者的临床资料及MSCT图像的特征。结果:脊柱孤立性浆细胞瘤MSCT图像显示椎体骨质破坏区内线状、楔形及不规则形骨嵴残留,椎体终板多发裂隙样碎裂,一侧附件受累,椎体及附件均呈膨胀性改变,病变侵犯周围形成软组织肿块;MSCT能直观显示病灶影像。结论:MSCT能清晰显示脊柱孤立性浆细胞瘤特征性影像学表现,对其具有较高诊断价值。
Objective: To investigate the MSCT manifestations of spondylus solitary plasmacytoma and further improve the understanding of the disease. Methods: Combined with the literature review, we retrospectively analyzed the clinical data of one patient with sporadic solitary plasmacytoma confirmed by our hospital and the features of MSCT images. Results: Spine solitary plasmacytoma MSCT images showed linear, wedge-shaped and irregular shaped ridge in vertebral bone destruction area. The vertebral endplates were multiple fissure-like fragments. One side attachment was involved, vertebral body and appendix were Expansibility changes, the lesions around the formation of soft tissue mass; MSCT can visually display the lesion image. Conclusion: MSCT can clearly show the characteristic imaging findings of sporadic solitary plasmacytoma, which is of high diagnostic value.