硬膜浆细胞瘤的mr西诊断2011.4.2.ppt

Dural plasmacytomas are uncommon extramedullary plasma cell tumors that should be considered in patients with a dural mass and history of plasma cell dyscrasia. 硬脑膜浆细胞瘤是一种不常见的髓外浆细胞肿瘤，当病人有浆细胞性恶液质病史，出现硬膜肿块时需要考虑到本病的可能。 Only see a small number of reported literature国内外文献仅见少数报道 And proposed the following diagnostic criteria并提出如下诊断标准①no other bone involvement in x-rayX线无其它骨受累②Must be confirmed histologically必须有组织学证实③ Bone marrow biopsy negative骨髓穿刺阴性④ Not Proteinuria, hyperlipidemia无高蛋白血症和本周蛋白尿 Differentiation between the solitary form and plasmacytoma in association with multiple myeloma has important treatment implications. 区别是孤立性浆细胞瘤还是多发性骨髓瘤相关的浆细胞瘤对于治疗有重要的意义。 Imaging characteristics of dural plasmacytomas may closely resemble those of meningiomas.硬膜浆细胞瘤的影像特征与脑膜瘤非常相似。 Plasmacytomas of the dural are uncommon plasma cell tumors that may occur as a solitary neoplasm more commonly, in association with multiple myeloma. 孤立性的硬膜浆细胞瘤是不常见的，而多发性骨髓瘤相关的浆细胞瘤相对更常见些。 The latter is usually accompanied by multiple lytic lesions of the skull.后者通常伴有颅骨多发性囊性病变。 In distinction, solitary craniocerebral plasmacytomas are relatively benign and potentially curable. 区别是，孤立性的颅脑浆细胞瘤是相对良性并有潜在的可治愈性。 Therefore, distinction between the two has important clinical consequences.因此，两者的鉴别有重要的临床意义。 The differential diagnosis for dural plasmacytoma includes metastasis, lymphoma, dural sarcoma, plasma cell granuloma and meningioma. 硬膜浆细胞瘤的鉴别诊断包括转移瘤，淋巴瘤、硬脑膜肉瘤、浆细胞瘤肉芽肿和脑膜瘤。 First, to exclude myeloma and other parts of the plasma cell sarcoma involving the intracranial首先要排除骨髓瘤和其他部位的浆细胞肉瘤累及颅内 Because they are completely different treatment and prognosis因为它们的治疗及预后完全不同 Learn more about the history through which bone or other parts of the primary tumor can be identified通过详细了解病史，后者有骨或其他部位的原发灶可鉴别 And is the difference between plasma cell granuloma, which is fully mature plasma cells, and mixed more lymphocytes and plasma cells and other inflammatory cells. 与浆细胞肉芽肿的区别是，后者的浆细胞完全成熟，并混杂较多的淋巴细胞和浆细胞，并常有其它炎细胞浸润 Dural p