摘要
目的探讨CT和MRI诊断脊柱孤立性浆细胞瘤(solitay plasmacytoma of spine,SPS)的价值。材料与方法收集手术病理证实的SPS9例,7例作了CT检查,4例作了MRI检查,3例同时作了CT和MRI检查,5例作了增强扫描。观察SPS有无膨胀、"微脑样"(Mini brain apperance)骨质破坏特征、邻近软组织肿块以及增强后表现。结果 9例SPS均表现椎体不同程度骨质破坏,5例累及附件,3例椎体压缩骨折;5例表现轻度骨膨胀破坏,5例骨破坏边缘残留长短粗细不一的骨嵴,横断位类似于"微脑"征象,4例椎体边缘伴不对称软组织肿块,增强扫描均呈现不同程度强化。结论轻度膨胀性骨质破坏伴边缘"微脑"征象是SPS的特殊表现,对诊断具有重要价值。
Objective To explore the value of CT and MRI diagnosis of solitay plasmacy- toma of spine （SPS）. Material and methods 9 cases SPS surgically continued were collected, of which 7 cases were examined by CT, 4 cases were examined by MRI, 3 cases were examined by CT and MRI simultaneously, 5 cases have enhanced scanning. To observe SPS whether it has the features of expansion and Mini brain kind of bone destruction, adjacent soft tissue mass and enhance performance. Results＇ 9 cases SPS all represented different degree vertebral bone destruction, of which 5 cases involving the accessories, 3 cases with vertebral compression fractures; 5 cases showed mild expansion bone destruction, 5 cases with residual crest bone of different length and thicknesses in bone destruction area edge which similar to Mini brain appearance in a cross-sectional, 4 cases with asymmetric soft tissue mass adjacent to vertebral body, which all enhanced differently. Conclusion Mild expansion bone destruction with Mini brain in bone destruction area edge was a special performance of SPS, which has important value to the diagnosis.
出处
《中国CT和MRI杂志》
2013年第1期95-97,120,共4页
Chinese Journal of CT and MRI
关键词
脊柱
浆细胞瘤
CT
MRI
spine plasmacytoma
tomography
X-ray computed magnetic resonanceimagine
