Imaging diagnosis of extramedullary hematopoiesis
10.3969/j.issn.1002-1671.2014.12.017
- VernacularTitle:髓外造血的影像诊断
- Author:
Lingling LIU
;
Fei MIAO
;
Cong ZHOU
;
Jing XIE
;
Fangqing GE
;
Xiaoxing TANG
- Publication Type:Journal Article
- Keywords:
extramedullary hematopoiesis;
computed tomography;
magnetic resonance imaging
- From:
Journal of Practical Radiology
2014;(12):2013-2015,2083
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss and analyze the imaging features of extramedullary hematopoiesis (EMH).Methods Imaging data of EMH in 7 patients with 85 lesions confirmed by clinical and pathological results were retrospectively analyzed.Results CT or MRI showed thoracic paravertebral multiple tumor-like soft tissue masses in 6 patients accompanied with pleural mass in 1,with liv-er mass in 1 and spleen mass in 1,and the masses in the distal ileum and in front of the inferior vena cava in 1.Thoracic paraverte-bral and pleural masses presented isodensity on plain CT and moderate enhancement on post-contrast CT.Among the 6 liver mas-ses,CT showed uniform density in 5 and small area of necrosis in 1.The only one spleen mass also appeared inner necrosis and mul-tiple small calcifications.The mass in the ileum presented thickened bowel wall with moderate enhancement,meanwhile the mass in front of vena cava presented obvious edge enhancement.MRI in 2 patients showed the masses with low signal on T1 WI and high sig-nal on T2 WI.Conclusion EMH has certain specific imaging characteristics,which may be helpful for correct diagnosis of EMH when combined with the clinical data.