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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
Objective To investigate the X-ray and CT findings of primary non-Hodgkin’s lymphoma and its diagnostic points. Methods Retrospective analysis of 8 cases (B cell source in 7 cases, T cell source in 1 case) by clinical and pathological diagnosis of X-ray and CT findings. Results Six cases were single bone (1 in humerus, femur, rib, ilium, clavicle and thoracic spine), 2 in multiple bone (1 invaded the proximal femur and proximal tibia, 1 invaded the ilium and the pubis) . X-ray showed infiltration in 4 cases, osteolytic, sclerotic, mixed and cystic swelling in 1 case. All soft tissue mass, 2 cases of peritoneal reaction, 2 cases with pathological fracture. Conclusion The disease often invading a single bone, and more performance of worm-like invasive bone destruction and osteolytic bone destruction, soft tissue mass. X-ray diagnosis is difficult, need to closely combine clinical and pathological