Ahlhelm F J, Fries P, Nabhan A, Reith W
Klinik für Diagnostische and Interventionelle Neuroradiologie, Radiologische Kliniken, Universitätsklinkum des Saarlandes, 66421, Homburg, Saar.
Radiologe. 2010 Feb;50(2):165-78; quiz 179-80. doi: 10.1007/s00117-009-1841-z.
Spinal tumors can be intramedullary, intradural (within the meninges), or extradural (between the meninges and the bones), or they may extend secondary to the spine from other locations. Vertebral hemangioma represents the most common benign tumor of the spine. Metastases, lymphoma, and multiple myeloma are the most frequent malignant spinal tumors. Primary osseous tumors of the spine, in contrast, are rare conditions but may demonstrate typical imaging findings. For the differential diagnosis, the patient's age, the topographic localization of the mass, and morphologic features of the lesion as depicted by computed tomography and magnetic resonance imaging play important roles.
脊柱肿瘤可以是髓内的、硬脊膜内的（在脑膜内）、硬脊膜外的（在脑膜和骨骼之间），或者它们可能从其他部位继发于脊柱。椎体血管瘤是脊柱最常见的良性肿瘤。转移瘤、淋巴瘤和多发性骨髓瘤是最常见的恶性脊柱肿瘤。相比之下，原发性脊柱骨肿瘤是罕见疾病，但可能表现出典型的影像学表现。对于鉴别诊断，患者的年龄、肿块的部位以及计算机断层扫描和磁共振成像所显示的病变形态特征起着重要作用。
