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骶骨朗格汉斯细胞组织细胞增生症(Langerhans cell histiocytosis of the sacrum)MRI病例分析

时间:2014-09-14  来源:RadiologicalEnglish  作者:本站整理复制分享】【讨论-纠错】【举报

Abstractaab影像园cn-diwater.com
摘要
aab影像园cn-diwater.com
Langerhans cellhistiocytosis is a rare disease with a wide spectrum of clinical presentations.It is a multisystemic disease with organ system involvement ranging fromsimple—where it involves only one organ—to widespread progressive disease.Although it can affect any age group, the peak incidence is between 1 and 3years of age.aab影像园cn-diwater.com

朗格汉斯细胞组织细胞增生症较为罕见,但其临床表现多样,是一种可累及单器官,也可广泛累及并呈进行性的多系统疾病。本病虽然可发生于任何年龄段,但其好发年龄为1-3岁。aab影像园cn-diwater.com

Case reportaab影像园cn-diwater.com
病例报道
aab影像园cn-diwater.com
A 27-year-old manpresented with an 8 months’ history of back pain radiating to his leg. Imagingrevealed an expansile lytic lesion in the body of the first sacral vertebra(S1) (Figs. 1-7). CT-guided biopsy was subsequently performed (Fig. 8), andhistology confirmed the lesion to be Langerhans cell histiocytosis.aab影像园cn-diwater.com
男性,27岁,背部疼痛伴腿部www.188bet.com痛8月。影像学表现(图1-7)为S1椎体膨胀性溶骨病变。随后行CT引导下活检(图8),组织学证实为朗格汉斯细胞组织细胞增生症。aab影像园cn-diwater.com

aab影像园cn-diwater.com

Figure 1. Plain dorsal and lumbar spine x- rayof 27-year-old male patient 8 months before CT-guided biopsy. It is not easy tofind the expansile lytic sacral lesion on this imageaab影像园cn-diwater.com
图1 男性,27岁,腰椎及背部脊椎188bet怎么样平片.摄于CT引导下活检前8个月,骶椎无明显膨胀性溶骨破坏。aab影像园cn-diwater.com

aab影像园cn-diwater.com

Figure 2. PlainAxial FSE T1W image of first sacral vertebra shows slightly increased signal inthe sacral lesion (arrow).aab影像园cn-diwater.com
图2 T1WI轴位示S1椎体病变区(箭)信号略增高。aab影像园cn-diwater.com

aab影像园cn-diwater.com

Figure 3.Sagittal FSE T1W image of the first sacralvertebra shows slightly increased signal in the lesion (arrow).aab影像园cn-diwater.com
图3 T1WI矢状位示S1椎体病变区(箭)信号略增高。

  参考文献:http://radiology.casereports.net/index.php/rcr/article/view/941/1231;Hatem MA,Langerhans cell histiocytosis of the sacrum. Radiology CaseReports. (Online)2014;9(3);941
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