Primary bone lymphoma: radiographic-MR imaging correlation
Primary bone lymphoma is an uncommon malignancy that accounts for less than 5% of all primary bone tumors. The radiographic appearances of primary bone lymphoma are variable, and, because the lesion can appear near normal on plain radiographs, a second modality such as bone scintigraphy or magnetic...
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| Veröffentlicht in: | Radiographics 2003-11, Vol.23 (6), p.1371-1383 |
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| container_title | Radiographics |
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| creator | Krishnan, Anant Shirkhoda, Ali Tehranzadeh, Jamshid Armin, Ali R Irwin, Ronald Les, Kimberly |
| description | Primary bone lymphoma is an uncommon malignancy that accounts for less than 5% of all primary bone tumors. The radiographic appearances of primary bone lymphoma are variable, and, because the lesion can appear near normal on plain radiographs, a second modality such as bone scintigraphy or magnetic resonance (MR) imaging should be used. Despite this variability, the presence of a solitary, permeative, metadiaphyseal lesion with a layered periosteal reaction on plain radiographs and a soft-tissue mass on MR images, especially in a patient older than 30 years, is highly suggestive of lymphoma. The case for a diagnosis of primary bone lymphoma is further strengthened if the soft-tissue mass and marrow changes are associated with surprisingly little cortical destruction. Primary bone lymphoma has a better prognosis than many other malignant bone tumors; therefore, early identification allows for appropriate treatment. MR imaging not only permits early identification but also depicts the extent of soft-tissue involvement and can be used to assess the outcome of treatment. |
| doi_str_mv | 10.1148/rg.236025056 |
| format | Article |
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The radiographic appearances of primary bone lymphoma are variable, and, because the lesion can appear near normal on plain radiographs, a second modality such as bone scintigraphy or magnetic resonance (MR) imaging should be used. Despite this variability, the presence of a solitary, permeative, metadiaphyseal lesion with a layered periosteal reaction on plain radiographs and a soft-tissue mass on MR images, especially in a patient older than 30 years, is highly suggestive of lymphoma. The case for a diagnosis of primary bone lymphoma is further strengthened if the soft-tissue mass and marrow changes are associated with surprisingly little cortical destruction. Primary bone lymphoma has a better prognosis than many other malignant bone tumors; therefore, early identification allows for appropriate treatment. MR imaging not only permits early identification but also depicts the extent of soft-tissue involvement and can be used to assess the outcome of treatment.</description><identifier>ISSN: 0271-5333</identifier><identifier>EISSN: 1527-1323</identifier><identifier>DOI: 10.1148/rg.236025056</identifier><identifier>PMID: 14615550</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Bone Marrow - diagnostic imaging ; Bone Marrow - pathology ; Bone Neoplasms - diagnosis ; Bone Neoplasms - diagnostic imaging ; Bone Neoplasms - pathology ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Lymphoma - diagnosis ; Lymphoma - diagnostic imaging ; Lymphoma - pathology ; Lymphoma, Non-Hodgkin - diagnosis ; Lymphoma, Non-Hodgkin - diagnostic imaging ; Lymphoma, Non-Hodgkin - pathology ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Periosteum - diagnostic imaging ; Periosteum - pathology ; Tomography, X-Ray Computed</subject><ispartof>Radiographics, 2003-11, Vol.23 (6), p.1371-1383</ispartof><rights>Copyright RSNA, 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-6971d8ebe75ab7f5108b7b8cee852c687fe984a6d042de04950038b3e2df32013</citedby><cites>FETCH-LOGICAL-c353t-6971d8ebe75ab7f5108b7b8cee852c687fe984a6d042de04950038b3e2df32013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14615550$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krishnan, Anant</creatorcontrib><creatorcontrib>Shirkhoda, Ali</creatorcontrib><creatorcontrib>Tehranzadeh, Jamshid</creatorcontrib><creatorcontrib>Armin, Ali R</creatorcontrib><creatorcontrib>Irwin, Ronald</creatorcontrib><creatorcontrib>Les, Kimberly</creatorcontrib><title>Primary bone lymphoma: radiographic-MR imaging correlation</title><title>Radiographics</title><addtitle>Radiographics</addtitle><description>Primary bone lymphoma is an uncommon malignancy that accounts for less than 5% of all primary bone tumors. The radiographic appearances of primary bone lymphoma are variable, and, because the lesion can appear near normal on plain radiographs, a second modality such as bone scintigraphy or magnetic resonance (MR) imaging should be used. Despite this variability, the presence of a solitary, permeative, metadiaphyseal lesion with a layered periosteal reaction on plain radiographs and a soft-tissue mass on MR images, especially in a patient older than 30 years, is highly suggestive of lymphoma. The case for a diagnosis of primary bone lymphoma is further strengthened if the soft-tissue mass and marrow changes are associated with surprisingly little cortical destruction. Primary bone lymphoma has a better prognosis than many other malignant bone tumors; therefore, early identification allows for appropriate treatment. MR imaging not only permits early identification but also depicts the extent of soft-tissue involvement and can be used to assess the outcome of treatment.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bone Marrow - diagnostic imaging</subject><subject>Bone Marrow - pathology</subject><subject>Bone Neoplasms - diagnosis</subject><subject>Bone Neoplasms - diagnostic imaging</subject><subject>Bone Neoplasms - pathology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Lymphoma - diagnosis</subject><subject>Lymphoma - diagnostic imaging</subject><subject>Lymphoma - pathology</subject><subject>Lymphoma, Non-Hodgkin - diagnosis</subject><subject>Lymphoma, Non-Hodgkin - diagnostic imaging</subject><subject>Lymphoma, Non-Hodgkin - pathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Periosteum - diagnostic imaging</subject><subject>Periosteum - pathology</subject><subject>Tomography, X-Ray Computed</subject><issn>0271-5333</issn><issn>1527-1323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0DtPwzAUhmELgWgpbMwoExMptk98aTdUcZOKQAhmy3ZO0qAkDnY79N9T1Aqmszz6pPMScsnolLFC38Z6ykFSLqiQR2TMBFc5Aw7HZEy5YrkAgBE5S-mLUlYILU_JiBWSCSHomMzfYtPZuM1c6DFrt92wCp2dZ9GWTaijHVaNz1_esx2qm77OfIgRW7tuQn9OTirbJrw43An5fLj_WDzly9fH58XdMvcgYJ3LmWKlRodKWKcqwah2ymmPqAX3UqsKZ7qwsqQFL5EWM0EpaAfIywo4ZTAh1_vdIYbvDaa16ZrksW1tj2GTjGKgOCjYwZs99DGkFLEyw_45w6j5bWVibf5a7fjVYXfjOiz_8SEO_ACgfWOV</recordid><startdate>20031101</startdate><enddate>20031101</enddate><creator>Krishnan, Anant</creator><creator>Shirkhoda, Ali</creator><creator>Tehranzadeh, Jamshid</creator><creator>Armin, Ali R</creator><creator>Irwin, Ronald</creator><creator>Les, Kimberly</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20031101</creationdate><title>Primary bone lymphoma: radiographic-MR imaging correlation</title><author>Krishnan, Anant ; Shirkhoda, Ali ; Tehranzadeh, Jamshid ; Armin, Ali R ; Irwin, Ronald ; Les, Kimberly</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-6971d8ebe75ab7f5108b7b8cee852c687fe984a6d042de04950038b3e2df32013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bone Marrow - diagnostic imaging</topic><topic>Bone Marrow - pathology</topic><topic>Bone Neoplasms - diagnosis</topic><topic>Bone Neoplasms - diagnostic imaging</topic><topic>Bone Neoplasms - pathology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Lymphoma - diagnosis</topic><topic>Lymphoma - diagnostic imaging</topic><topic>Lymphoma - pathology</topic><topic>Lymphoma, Non-Hodgkin - diagnosis</topic><topic>Lymphoma, Non-Hodgkin - diagnostic imaging</topic><topic>Lymphoma, Non-Hodgkin - pathology</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Periosteum - diagnostic imaging</topic><topic>Periosteum - pathology</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krishnan, Anant</creatorcontrib><creatorcontrib>Shirkhoda, Ali</creatorcontrib><creatorcontrib>Tehranzadeh, Jamshid</creatorcontrib><creatorcontrib>Armin, Ali R</creatorcontrib><creatorcontrib>Irwin, Ronald</creatorcontrib><creatorcontrib>Les, Kimberly</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Radiographics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krishnan, Anant</au><au>Shirkhoda, Ali</au><au>Tehranzadeh, Jamshid</au><au>Armin, Ali R</au><au>Irwin, Ronald</au><au>Les, Kimberly</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary bone lymphoma: radiographic-MR imaging correlation</atitle><jtitle>Radiographics</jtitle><addtitle>Radiographics</addtitle><date>2003-11-01</date><risdate>2003</risdate><volume>23</volume><issue>6</issue><spage>1371</spage><epage>1383</epage><pages>1371-1383</pages><issn>0271-5333</issn><eissn>1527-1323</eissn><abstract>Primary bone lymphoma is an uncommon malignancy that accounts for less than 5% of all primary bone tumors. The radiographic appearances of primary bone lymphoma are variable, and, because the lesion can appear near normal on plain radiographs, a second modality such as bone scintigraphy or magnetic resonance (MR) imaging should be used. Despite this variability, the presence of a solitary, permeative, metadiaphyseal lesion with a layered periosteal reaction on plain radiographs and a soft-tissue mass on MR images, especially in a patient older than 30 years, is highly suggestive of lymphoma. The case for a diagnosis of primary bone lymphoma is further strengthened if the soft-tissue mass and marrow changes are associated with surprisingly little cortical destruction. Primary bone lymphoma has a better prognosis than many other malignant bone tumors; therefore, early identification allows for appropriate treatment. MR imaging not only permits early identification but also depicts the extent of soft-tissue involvement and can be used to assess the outcome of treatment.</abstract><cop>United States</cop><pmid>14615550</pmid><doi>10.1148/rg.236025056</doi><tpages>13</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Bone Marrow - diagnostic imaging Bone Marrow - pathology Bone Neoplasms - diagnosis Bone Neoplasms - diagnostic imaging Bone Neoplasms - pathology Child Child, Preschool Female Humans Infant Lymphoma - diagnosis Lymphoma - diagnostic imaging Lymphoma - pathology Lymphoma, Non-Hodgkin - diagnosis Lymphoma, Non-Hodgkin - diagnostic imaging Lymphoma, Non-Hodgkin - pathology Magnetic Resonance Imaging Male Middle Aged Periosteum - diagnostic imaging Periosteum - pathology Tomography, X-Ray Computed |
| title | Primary bone lymphoma: radiographic-MR imaging correlation |
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