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RADIOLOGIE ET IMAGERIE MÉDICALE : Musculosquelettique - Neurologique - Maxillofaciale

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Localisations rachidiennes des lymphomes - 17/08/17

[31-670-A-30] - Doi : 10.1016/S1879-8551(17)85322-7

M. Runge : Radiologiste des Hôpitaux, praticien hospitalier
Centre hospitalier régional universitaire Jean-Minjoz, 3, boulevard A.-Fleming, 25000 Besançon, France

Article à jour au 14/06/2023

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Resumen

Les localisations rachidiennes des lymphomes sont rares. Elles sont le plus souvent secondaires à une dissémination à partir d'une localisation extranodale et relèvent beaucoup plus rarement d'une atteinte primitive. Tous les compartiments anatomiques du rachis peuvent être affectés : la vertèbre, l'espace extradural, l'espace intradural. Les aspects en imagerie d'atteinte lymphomateuse sont aspécifiques aussi bien en radiographie conventionnelle qu'au scanner ou en imagerie par résonance magnétique (IRM). L'IRM et la tomographie par émission de positons au fluorodésoxyglucose-scanner représentent les examens utiles pour établir le diagnostic, effectuer le bilan d'extension et apprécier l'efficacité du traitement.

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Mots-clés : Rachis, Lymphome, Maladie de Hodgkin, Lymphome vertébral, Lymphome extradural, Lymphome intradural

Esquema

Localisations lymphomateuses rachidiennes

Aspects cliniques

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Médecine nucléaire

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]}

D'une atteinte épidurale ou sous-durale simulant un lymphome épidural ou sous-dural

D'une atteinte leptoméningée

D'une lésion intramédullaire (grosse moelle)

Suivi évolutif - Traitement

Déclaration de liens d'intérêts

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Pathologie infectieuse non tuberculeuse du rachis
M. Runge

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