摘要
本文复习40例脾淋巴瘤的影像学所见。原发脾非何杰金氏淋巴瘤(NHL)3例,继发37例〔其中何杰金氏病(HD)13例,NHL24例〕。筛孔状改变4例,单发病变4例,多发病变25例,全脾受侵7例(包括3例原发脾淋巴瘤)。2例由于影像学检查检出脾病变而改变了分期及治疗方案。3例脾原发淋巴瘤B 超以中低回声为主,回声极不均匀的大肿物,而CT 增强扫描则以低密度为主,密度不均。继发病变B 超吴低/无回声,CT 示低密度区。B 超检出CT 所示全部脾病变,2例CT(1例只作了平扫)漏诊,而B 超显示为多发小病变。
Three cases of primary spleniclymphoma(NHL)and 37 cases of se-condary splenic lymphoma(HD 13 andNHL 24 cases)were reviewed.Therewere 4 cribriform lesions,4 solitarylesions,25 multiple nodules or massesand 7 cases with a huge mass invo-lved the whole spleen.In 2 cases,thestage and treatment plan were adju-sted according to the finding of sple-nic lesions.On ultrasonography,sp-lenic lymphomas were mostly hypoe-choic or anechoic,with heteroechoicin big masses.Hypodensed lesionswere shown on CT which were moreobvious in enhanced scans.CT missed2 cases(1 solitary and anothermultiple lesions)which were detectedby ultrasonography.All 3 cases ofprimary splenic lymphoma had hugemasses in upper left quadrant,withheteroechoie in ultrasond or mixedattenuation in CT.Primary spleniclymphoma should be considered espe-cially when lymph node of splenichilum is enlarged.
出处
《临床放射学杂志》
CSCD
北大核心
1991年第2期70-72,111-116,共3页
Journal of Clinical Radiology
