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目的 :探讨骨淋巴管瘤的临床特点。方法 :诊治 1例骨盆骨淋巴管瘤 ,并复习有关文献。结果 :患者术后随访 8个月无复发 ,症状消失。结论 :骨淋巴瘤影像学特点主要呈溶骨性破坏 ,CT表现由均匀一致的水样密度 ,不同程度的骨破坏 ,无死骨形成。MRI增强囊壁呈不同程度增强 ,骨组织呈长T1 、T2 信号 ,周围软组织及肌肉内呈长T2 ,稍长T1 信号 ,沿组织间隔蔓延。临床诊断主要依靠病理诊断。治疗方法主要采用手术切除、植骨。
Objective: To explore the clinical features of BLC. Methods: Diagnosis and treatment of one case of pelvic lymphangioma, and review the literature. Results: The patients had no recurrence after 8 months of follow-up and the symptoms disappeared. Conclusion: The imaging features of bone lymphoma are mainly osteolytic destruction. The CT manifestation is uniform and uniform water sample density, different degrees of bone destruction, and no sequestrum formation. The MRI enhanced the wall of the cysts to different degrees. The bone tissue showed long T1 and T2 signals. The surrounding soft tissues and muscles showed long T2, slightly longer T1 signals, spreading along the interstitial space. Clinical diagnosis relies on pathological diagnosis. The main treatment methods are surgical resection and bone grafting.