摘要
目的:探讨恶性淋巴瘤的胸部CT表现,及时作出诊断和鉴别诊断。材料与方法:搜集经病理证实的32例胸部恶性淋巴瘤(分为何杰金病和非何杰金淋巴瘤),全部进行CT增强扫描。结果:本组病例中,何杰金病7例,非何杰金淋巴25例,可表现为:(1)纵隔、肺门淋巴结增大,(2)肺部受侵,(3)胸膜病变,(4)心包渗出或胸壁侵犯等。纵隔、肺门淋巴结肿大最为常见。肺部侵犯有四种类型:(1)肿块(结节)型;(2)粟粒型,(3)肺炎型;(4)间质型。最常见为结节型与肺炎型、间质型并存;胸膜渗出、胸膜块样增厚及心包渗出较少见。结论:恶性淋巴瘤在纵隔肺门淋巴结、肺、胸膜和心包等处有各种异常CT表现,CT检查可以准确显示肺部情况,且有利于疾病的诊断和鉴别诊断。
Purpose： To investigate CT manifestation of intrathoracicl malignant lymphoma and make a diagnosis as well as diferenfial diagnosis. Material and Meththods： 32 cases of intrathoraeicl malignant lymphoma proved with pathology were studied. Enhanced CT scanning was performed with a siemens scanner in all patients. Results： Among 32 cases, including 7 cases of Hodgkin＇s disease （HI）） and 25 cases of non- hodgkin＇s lymphoma （NHL）. Had abnonmal CT findings： （1） mediastinal or hilar lymph nodal enlargement; （2） pulmonary involvement; （3） pleural lesions; （4） pericardial effusion or chest wallinvasion, etc. Hilar or mediastinal nodal involvement was the most common manifestation. Lmphomatous invdvement of lung demonstrated 4 patterns： （ 1 ） mass or nodular （2） pneumonie （3） interstitial （4） miliary. The most eonmlon appearance was coexistence of nodular type and miliaty type, pneumonie type with air bronehograms. Pleural effusion or pleural masses, and pericardis effusion were uncommon. Conclusion： Various abnormal manifestations of involvement of mediastinal lymph nodes, lungs, pleura and pericardiun cottld be found in malignant lymphoma. CT can accurately dementstrate conditions about pulmonary, and was helpful to the diagonosis and differential diagnosis.
出处
《现代医用影像学》
2005年第4期148-150,共3页
Modern Medical Imageology
