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胸内恶性淋巴瘤50例的 X 线诊断 被引量:3

ROENTGENOLOGIC DIAGNOSIS ON INTRATHORACIC LYMPHOMA OF 50 CASES
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摘要 本文报告胸内恶性淋巴瘤50例,均经病理证实。首发症状以颈部肿块最多见(27例),表浅淋巴结增大7例。X 线表现:两侧纵隔增宽21例,单侧纵隔增宽12例,肺部浸润4例,胸腔积液4例,肺门增大9例。特征性 X 线表现为:两侧纵隔对称性或非对称性膨胀增宽;两侧纵隔轻度增宽,右缘平直。其他不典型的纵隔及肺门改变应结合临床检查进行诊断。 In this paper,50 cases (30 males and 20 females,aged 9— 70)of histopathologically confirmed intrathoracic lymphoma were reported.27 cases had the neck mass,the commonest and the first presented sign.7 cases had superficial lymphadenopathy.X—ray manifestations of this series included:bilateral increase in width of mediastinum(21 cases),unilateral widened mediastinum(12 cases), bilateral hilar enlargement(6 cases),unilateral hilar enlargement(3 eases),lung involvement(4 cases)and pleural effusion(4 cases).The characteristic manifestations were bilateral symmetric or asymmetric expansion of mediastinum,and the straight line change of the riglit margin of the slightly increased mediastinal width.Toget diagnosis by other manifestation may be difficult.
出处 《河北医学院学报》 1991年第2期34-35,共2页
关键词 淋巴瘤 X线诊断 lymphoma hodgkin disease widened mediastinum lung involvement
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  • 1申屠阳,丁征平,周允中,陈文虎.纵隔肿大淋巴结的诊断[J].中国综合临床,2005,21(1):64-66. 被引量:7
  • 2Filly R,Bland N,Castellino RA. Radiographic distribution ofintrathoracic disease in previously untreated patients with Hodgkin' s disease and non - Hodgkin ' s lymphoma [ J ] Radiology, 1976,120 (2) .277 - 281.
  • 3Strickland B. Intra - thoracic Hodgkin' s disease. Part Ⅱ. peripheral manifestations of Hodgkin' s disease in the chest [ J ]. Br J Radiol, 1967,40(480) :930 -938.
  • 4Potente G, lacari V, Caimi M. The challenge of solitary pulmonarynodules : HRCT evaluation [ J ]. Comput Med Imaging Graph, 1997,21 (1) :39 -4-6.
  • 5Filly R, Bland N, Castellino RA. Radiographic diatribution of intrathoracic disease in previously untreated patients with Hodgkins disease and non-Hodgkin's lymphoma. Radiology, 1976, 120(2): 277-281.
  • 6李铁一.胸部疾病CT诊断学.北京:北京出版社,1992.
  • 7Cordier JF, Chailleux E, l,auque D, eL al. Primal pulmonary lym- phomas. A clinical study of 70 cases in nonimmunocomprumised pa- tients. Chest, 1993,103 : 201 - 208.
  • 8Begueret H, Vergier B, Parrens M, et al. Primal' Lung small B-ceil Lymphoma versus Lymphoid Hyperplasia: Evaluation of Diagnostic' Criteria in 26 Cases. Am J Surg Pathol,2002 ,26 :76 - 81.
  • 9宋伟,王立,严洪珍.肺内淋巴瘤的影像诊断[J].中华放射学杂志,2001,35(1):49-51. 被引量:68
  • 10邹秋水,邹昕.胸部何杰金氏病与非何杰金氏淋巴瘤X线表现(附100例分析)[J].临床放射学杂志,1988,7(1):1-4. 被引量:10

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