Multi slice CT spiral and MRI Performance of Spinal Giant Cell Tumor (6 Cases’ Reports)_West China Medical Journal

Authors：

WEN Xiaoling , DONG Zhihui , WANG Qiling

the Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding?author：

Keywords：

脊柱; 骨巨細胞瘤; CT; MRI

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目的:明確脊柱骨巨細胞瘤的多層螺旋CT、MRI表現。方法:回顧性分析經病理證實的脊柱骨巨細胞瘤6例(男5例,女1例,年齡21～40歲,平均32歲)。6例CT檢查,3例有MRI檢查。結果:發生于胸椎3例,腰椎1例,骶椎2例。CT主要表現為膨脹性溶骨性破壞和較大軟組織腫塊;MRI表現T1加權成像為低等信號,T2加權成像為高低混雜信號特點,可顯示瘤內壞死、囊變、出血等。結論:脊柱骨巨細胞瘤具有侵襲性強、生長活躍、易復發等特點,結合CT、MRI檢查可對該病做出及時診斷,且對臨床分期、手術方案制訂及術后定期隨訪有重要價值。

Citation： WEN Xiaoling,DONG Zhihui,WANG Qiling. Multi slice CT spiral and MRI Performance of Spinal Giant Cell Tumor (6 Cases’ Reports). West China Medical Journal, 2009, 24(7): 1791-1794. doi: Copy

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1. SZENDROI M. Giantcell tumor of bone[J]. J Bone Joint Surg,2004,86(1):5-12.
2. OZAKI T, LILJENQVIST U I F, HALM H, et al. Giant cell tumor of the spine[J]. Clin Orthopa Relat Res,2002,401(8):194-201.
3. DAHLIA D C. Giant cell tumor of vertebrae abore the sacrum, a review of 31 cases[J]. Cancer,1997,39(3):1350-1360.
4. BHUPENDRA K S S, FRANKLIN H S, KRISHNAN K U, et al. Giantcell tumors of the spine[J]. J Bone Joint Surg,1993,75-b(1):148-154.
5. DAHLIN D C, CUPPS R E, JOHNSON E W JR. Giant cell tumor: a study of 195 cases[J]. Cancer,1970,25(5):1061-1070.
6. RICHARD L M, JANIE R, VALERAE O L, et al. Impact severity of local recurrence in giant cell tumor of bone[J]. Clin Orthop,2005,438(9):116-122.
7. GHERT M A, RIAAO M, HARRELESON J M, et al. Giantcell tumor of the appendicular skeleton[J]. Clin Orthop,2002,400(9):201-210.
8. CHANG S S, SANJEEV J S, KWANG M J, et al. Bisphosphonates may reduce recurrence in giant cell tumor by inducing apoptosis[J]. Clin Orthop,2004,426(9):103-109.
9. 杜聯軍,丁曉毅,陸勇,等.骨巨細胞瘤復發的影像學表現及影響因素[J].放射學實踐,2006,21(12):1261-1265.

West China Medical Journal

Multi slice CT spiral and MRI Performance of Spinal Giant Cell Tumor (6 Cases’ Reports)

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