摘要
目的:单发性浆细胞瘤是单发性骨髓瘤(SPB)和髓外浆细胞瘤(EMP)的统称。但其与多发性骨髓瘤(MM)之间的关系迄今仍未弄清,故需探讨两者的异同。材料和方法:通过X线和CT检查观察单发性骨髓瘤4例和髓外浆细胞瘤3例。结果:SPB主要表现为单发膨胀性骨破坏,范围较大,边界清楚,CT显示骨破坏区为软组织肿块所充填。EMP主要为局部软组织肿块,邻近骨受侵犯呈囊状骨破坏。结论:X线,尤其是CT检查在SPB和EMP的诊断和鉴别诊断中有着重要作用。
Purpose:Solitaryplasmacytomaconsistsofsolitaryplasmacytomaofbone(SPB)andextramedularyplasmacytoma(EMP).Theclinicaldiferencebetweenthesetumorsandmultiplemyeloma(MM)isstilunderdispute.ThisreportatemptstodiscusthediferencesbetweenthesetumorsbyX-rayandCT.MaterialsandMethods:4patientswithSPBand3patientswithEMPwereanalyzed.Results:TheX-rayfeaturesofSPBwerelarge,wel-demarcatedsolitaryexpansileoste-olyticlesion.CTrevealedlesiontobefiledwithsofttissuemass,whileEMPappearedassofttissuemassandinvasionofneighbouringbonewithcysticbonydestrution.Conclusion:TheauthorswereoftheopinionthatX-rayexamination,especialyCT,playedanimportantroleinthediagnosisanddiferentialdiagnosisofthesolitaryplasmacytoma.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1996年第2期121-123,共3页
Chinese Journal of Radiology
关键词
浆细胞瘤
放射摄影术
CT
PlasmacytomaRadiographyTomography,X-raycomputed