From the Departments of Radiology.
Nuclear Medicine, The Third Hospital, Hebei Medical University, Shijiazhuang, Hebei, China.
Clin Nucl Med. 2021 Aug 1;46(8):688-690. doi: 10.1097/RLU.0000000000003651.
Primary osseous B-lymphoblastic lymphoma/leukemia is very rare, especially multiple bones involved. Herein, we reported the bone scintigraphy findings in a 16-year-old adolescent boy with a 20-day history of right thigh pain caused by B-lymphoblastic lymphoma/leukemia. Multiple abnormal MDP-avid foci were noted on 99mTc-MDP bone scintigraphy. Interestingly, the CT images of corresponding lesions were unrevealing. Finally, the B-lymphoblastic lymphoma/leukemia was confirmed by pathology and immunohistochemistry.
原发性骨淋巴母细胞瘤/白血病非常罕见,尤其是累及多骨。本文报道了一例 16 岁青少年因 B 淋巴母细胞瘤/白血病引起右大腿疼痛 20 天,99mTc-MDP 骨显像显示多处异常 MDP 摄取灶。有趣的是,相应病变的 CT 图像无明显异常。最终通过病理和免疫组化证实为 B 淋巴母细胞瘤/白血病。