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蝶窦弥漫性大B细胞淋巴瘤在CT和MRI上酷似骨纤维异常增殖症。

Diffuse large B-cell lymphoma in the sphenoid sinus mimicking fibrous dysplasia in CT and MRI.

作者信息

Yoshihara Shintaro, Kondo Kenji, Ochi Atsushi

机构信息

Kameda Medical General Hospital, Chiba, Japan.

Tokyo University, Tokyo, Japan.

出版信息

BMJ Case Rep. 2014 Jul 4;2014:bcr2014205272. doi: 10.1136/bcr-2014-205272.

Abstract

We present a 70-year-old man with lymphoma who presented with a right eye movement disorder. CT examinations showed 'ground-glass' appearance extending around the right sphenoid sinus which suggested fibrous dysplasia. However, biopsy from the mass histologically proved it to be diffusing large B-cell lymphoma and positron emission tomography examinations revealed increased fluorodeoxyglucose (FDG) uptake around the right sphenoid bone and multiple spinal bones. After chemotherapy for lymphoma, abnormal FDG uptake disappeared from the body.

摘要

我们报告一名70岁患有淋巴瘤的男性,其出现右眼运动障碍。CT检查显示围绕右侧蝶窦有“磨玻璃”样外观,提示纤维发育不良。然而,对肿块进行活检,组织学检查证实为弥漫性大B细胞淋巴瘤,正电子发射断层扫描检查显示右侧蝶骨和多块脊椎骨周围氟脱氧葡萄糖(FDG)摄取增加。淋巴瘤化疗后,体内异常的FDG摄取消失。

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