6例肝脏结节/肿块型淋巴瘤患者的CT诊断及鉴别

目的分析肝脏结节/肿块型淋巴瘤的CT表现,以期提高其诊断水平。方法回顾性分析2008年12月-2016年4月上海市金山区中西医结合医院和温州医科大学附属慈溪医院诊治的6例经病理或临床治疗证实的肝脏结节/肿块型淋巴瘤患者的CT资料。主要观察病灶的部位、数目、形态、大小、边界及平扫密度特点,动态增强的强化特征,内部及周边结构的改变,体表、腹腔/腹膜后有无积液及肿大淋巴结等。结果 6例患者中,2例肝脏原发性淋巴瘤均表现为肝内单发结节;4例继发性淋巴瘤中1例表现为单发结节,3例表现为多个大小不等的结节及肿块。共15个病灶,病灶最大直径为17~108 mm。5例病灶边界较清晰,1例病灶边界较模糊。CT平...

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Published in临床肝胆病杂志 Vol. 33; no. 8; pp. 1492 - 1496
Main Author 杜晓峰 马周鹏 林观生 何辉 唐亚荣 吴建明
Format Journal Article
LanguageChinese
Published 上海市金山区中西医结合医院放射科,上海,201501%上海市金山区中西医结合医院肿瘤科,上海,201501%温州医科大学附属慈溪医院放射科,浙江宁波,315300 2017
Subjects
体层摄影术,X线计算机
淋巴瘤
肝肿瘤
诊断,鉴别
肝肿瘤
tomography,X-ray computed
lymphoma
liver neoplasms
体层摄影术,X线计算机
diagnosis,differential
淋巴瘤
诊断,鉴别
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ISSN1001-5256
DOI10.3969/j.issn.1001-5256.2017.08.016

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Summary:目的分析肝脏结节/肿块型淋巴瘤的CT表现,以期提高其诊断水平。方法回顾性分析2008年12月-2016年4月上海市金山区中西医结合医院和温州医科大学附属慈溪医院诊治的6例经病理或临床治疗证实的肝脏结节/肿块型淋巴瘤患者的CT资料。主要观察病灶的部位、数目、形态、大小、边界及平扫密度特点,动态增强的强化特征,内部及周边结构的改变,体表、腹腔/腹膜后有无积液及肿大淋巴结等。结果 6例患者中,2例肝脏原发性淋巴瘤均表现为肝内单发结节;4例继发性淋巴瘤中1例表现为单发结节,3例表现为多个大小不等的结节及肿块。共15个病灶,病灶最大直径为17~108 mm。5例病灶边界较清晰,1例病灶边界较模糊。CT平扫示4例病灶呈较均匀较低密度（平均CT值为29.8~41.4 Hu）,其余2例病灶密度不均匀,外周为较低密度（平均CT值为26.7~39.6 Hu）,中央见片状低密度区（平均CT值为16.5~27.8 Hu）。CT增强扫描动脉期及门静脉期6例均呈轻-中度持续强化,弱于正常肝脏组织呈较低密度,以门静脉期强化相对明显（平均CT值为45.6~63.9 Hu）;延迟期强化均减弱,呈较低密度。4例病灶呈较均匀强化,2例平扫密度不均匀者呈周边强化,中央见斑片未强化区域。5例患者肿瘤内可见＂血管漂浮征＂。所有患者肿瘤均未见钙化。2例见病灶上游胆管局限稍增宽,4例见浅表及腹腔/腹膜后肿大淋巴结,1例继发性淋巴瘤见脾脏浸润。结论肝脏结节/肿块型淋巴瘤虽然罕见,但其表现有一定特征,CT对其诊断及鉴别具有较大价值。
Bibliography:liver neoplasms; lymphoma; tomography; X-ray computed; diagnosis; differential
DU Xiaofeng, MA Zhoupeng, LIN Guansheng, et al . （Department of Radiology,Integrated Tradi tional Chinese and Western Medical Hospital of Jinshan District, Shanghai 201501, China ）
Objective To investigate the CT findings of nodular/mass-type hepatic lymphoma,and to improve its diagnostic level. Methods A retrospective analysis was performed for the CT findings of 6 patients with nodular/mass-type hepatic lymphoma confirmed by pathology or clinical treatment who were diagnosed and treated in Integrated Traditional Chinese and Western Medical Hospital of Jinshan District and Cixi Hospital Affiliated to Wenzhou Medical University from December 2008 to April 2016. The CT findings were closely observed in terms of tumor location,number,morphology,size,boundary,and features of density,features of dynamic enhancement,changes in internal and surrounding structures,and the presence or absence of dropsy and lymph node enlargement in the body
ISSN:1001-5256
DOI:10.3969/j.issn.1001-5256.2017.08.016