肋骨孤立性浆细胞瘤的影像学诊断

Imaging diagnosis of solitary plasmacyloma of ribs

目的分析肋骨孤立性细胞瘤的影像学特点．旨在提高时肋骨孤立性细胞瘸的影像诊断能力。方法我院近5年收治的肋骨孤立性细胞癌患者18例，对进行CT、X线检查以及病理活检，对其影像学表现进行对比分析。结果18例患者均为单发病灶．均发生于肋骨，临床特点为局部肿胀、疼痛、发热；影像学表现多为膨胀性溶骨性骨质破坏．边界较清晰，骨皮质变薄或中断，少部分骨皮质增犀伴硬化。绪论肋骨孤立性细胞瘤患者临床表现特异性不高．而影像学主要表现为膨胀性溶骨性骨质破坏或者周围软组织肿块．临床诊断需结合影像学评估骨质的破坏程度、骨髓的浸润范围等，联合病理结果选择合适的治疗方案。

Objective To analyze the imaging features of solitary cell tumor of ribs, and to improve the imaging diagnostic ability of solitary cell tumor of rib. Method 18 cases of solitary cell tumor of ribs were treated in our hospital in the past five years. CT, X--ray and biopsy were performed, and the imaging findings were compared and analyzed.Results 18 cases were single lesion, occurred in the ribs, the clinical features of local swelling, pain. fever; imaging manifestations of osteolytic bone swelling for the expansion of the more clear boundary, thinning or cortical bone interruption, less Some cortical thickening with sclerosis.Conclusion The specificity of the clinieaI mani- ft, stations of solitary cell tumor of the ribs is not high. while the imaging manifestations of osteolytic bone swelling or swelling of the surrounding soft tissue mass, the clin- ical diagnosis should be combined with imaging to assess the extent of bone destruction, bone marrow infihration range , Combined with pathological results to choose the appropriate treatment.