Authored by Michael E Mulligan, MD, Associate Professor, Department of Radiology, University of Maryland School of Medicine
Michael E Mulligan, MD, is a member of the following medical societies: American Roentgen Ray Society, International Skeletal Society, Radiological Society of North America, and Society of Skeletal Radiology
Edited by Jacqueline C Hodge, MD, Assistant Professor, Department of Radiology, McGill University, Royal Victoria Hospital; Bernard D Coombs, MBChB, PhD, Assistant Professor, Department of Radiology, University of Colorado Health Sciences Center; Murali Sundaram, MBBS, FRCR, Department of Radiology, Mayo Clinic of Rochester; Robert M Krasny, MD, Visiting Assistant Professor of Radiology, University of California at Los Angeles Medical Center; Consulting Staff, Tower Imaging, Los Angeles, California; and Felix S Chew, MD, EdM, Vice-Chair for Education, Section Head of Musculoskeletal Radiology, Professor, Department of Radiology, Wake Forest University School of Medicine
Background: Primary lymphoma of bone (PLB) is a rare malignant neoplastic disorder that affects the skeleton. In 1939, PLB first was described as a distinct clinical condition by Parker and Jackson. Later that year, PLB was included in the classification of bone tumors used in the Bone Sarcoma Registry by Ewing, under the heading of reticulum cell lymphosarcoma. In 1963, the term PLB was introduced by Ivins and Dahlin.
Pathophysiology: Most PLB cases result from non–Hodgkin-type lymphoma. In the past, most authorities considered all cases of Hodgkin disease in bone to be metastatic. C u r r e n t ly , Hodgkin disease is reported as occurring as a p r i m a r y bone tumor. In 1 referral series, 6% of PLB cases resulted from H o d g k i n disease. PLB tumors produce osteoclast-stimulating factors that cause lytic bone destruction.
И так далее.. О печени тоже, вероятно скоро выйдет статья.
И Валентин Яковлевич! Как видите не мне одному это в голову "взбрело" это раз. Во вторых, вероятно в лимф. узлах есть изменения, но они ещё не у в е л и ч е н ы , что бы это заметить на КТ и пр. - это два. И гранулёмы с RS кл. могут быть обнаружены на поверхности печени, (не знаю, может уже и есть статья я поищу), на стадии ещё не увеличенных лимфоузлов.
А за сообщение сегодня твёрдая " Пятёрка! " Поздравляю
