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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病例图片影像诊断分析

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XCTMR.com
摘要
aab影像园XCTMR.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XCTMR.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XCTMR.com

Case reportaab影像园XCTMR.com
病例报道
aab影像园XCTMR.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XCTMR.com
男性,27岁,背部疼痛伴腿部放射痛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XCTMR.com

aab影像园XCTMR.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XCTMR.com
图1 男性,27岁,腰椎及背部脊椎X线平片.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XCTMR.com

aab影像园XCTMR.com

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

aab影像园XCTMR.com

Figure 3.Sagittal FSE T1W image of the first sacralvertebra shows slightly increased signal in the lesion (arrow).aab影像园XCTMR.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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