Amara H, Elomri H, Cherni N, Tlili K, Mrad-Dali K, Sriha B, Kraiem C, Nabli S
Service de Radiologie, Hospital Farhad Hached 4000, Sousse, Tunisie, France.
J Radiol. 2002 Jan;83(1):55-8.
Primary lymphoma of bone (PLB) has benefited from recent advances in medical imaging and immunohistochemical study that are of prognostic and therapeutic value. From 3 case reports of PLB involving the iliac bone and the skull base, we review the definition of PLB and their main features. The importance of complete initial workup for staging in order to exclude secondary bone lymphomas, more frequent and of worse prognosis, is emphasized. Diagnosis of PLB involving the skull base is more difficult to obtain and nearly always requires neurosurgical biopsy unlike PLB of peripheral bones that are more readily amenable to percutaneous biopsy.
原发性骨淋巴瘤（PLB）受益于医学成像和免疫组织化学研究的最新进展，这些进展具有预后和治疗价值。通过3例累及髂骨和颅底的PLB病例报告，我们回顾了PLB的定义及其主要特征。强调了进行全面的初始分期检查以排除继发性骨淋巴瘤的重要性，继发性骨淋巴瘤更为常见且预后更差。与更容易进行经皮活检的外周骨PLB不同，诊断累及颅底的PLB更困难，几乎总是需要神经外科活检。
