摘要
目的总结肾上腺淋巴瘤(AL)的临床、病理及超声图像特征。方法选取我院经病理证实的AL患者15例,观察并分析其临床、病理和超声图像特征。结果15例AL患者平均年龄(63.7±10.9)岁,累及双侧者6例,累及单侧者9例;其中弥漫大B细胞淋巴瘤12例,NK/T细胞淋巴瘤、外周T细胞淋巴瘤、霍奇金淋巴瘤各1例。共21个病灶,最大径4.4~16.8cm,平均(9.0±3.2)cm;20个病灶(95.2%)表现为实性低回声,19个病灶(90.5%)内部回声不均匀,可见条状或网格状高回声分隔;12个病灶(57.1%)边界不清晰,15个病灶(71.4%)形态不规则,11个病灶(52.4%)不累及周围脏器;13个病灶(61.9%)内可探及少量点线状血流信号。8个病灶行超声造影检查,均表现为早期快速均匀增强,未见非增强区域。结论AL好发于老年患者,病灶较大,病理结果多为弥漫大B细胞淋巴瘤,超声图像具有一定特征性。
Objective To summarize the clinical,pathological and ultrasonographic features of adrenal lymphoma(AL).Methods The clinical,pathological and ultrasonographic features of 15 patients with AL confirmed by pathology were analyzed retrospectively.Results The average age of 15 AL patients was(63.7±10.9)years,6 patients were bilateral involved and 9 patients were unilateral involved.12 cases were diffuse large B-cell lymphoma,1 case was peripheral T-cell lymphoma,1 case was extranodal NK/T-cell lymphoma,and 1 case was Hodgkin’s lymphoma.Totally 21 lesions were identified,the maximum diameter of the lesions ranged from 4.4 to 16.8 cm,with a mean of(9.0±3.2)cm.On ultrasonography,20 lesions(95.2%)appeared as hypoechoic solid masses,and 19 lesions(90.5%)exhibited heterogeneous echogenicity with linear or reticular hyperechoic septa.12 lesions(57.1%)had indistinct margins,15 lesions(71.4%)were irregular in shape,and 11 lesions(52.4%)showed no invasion into adjacent organs.13 lesions(61.9%)demonstrated minimal vascularity.Contrast-enhanced ultrasound(CEUS)was performed on 8 lesions,all of which displayed rapid early-phase enhancement with homogeneous contrast filling and no non-enhanced areas.Conclusion AL predominantly occurs in elderly patients,and presents with large lesions.The pathological results mostly diagnosed as diffuse large B-cell lymphoma pathologically,with ultrasound findings exhibiting a certain characteristic features.
作者
王钰梅
王淑敏
陈文
付帅
WANG Yumei;WANG Shumin;CHEN Wen;FU Shuai(Department of Ultrasound Medicine,Peking University Third Hospital,Beijing 100191,China;Department of Ultrasound Medicine,Yibin Hospital of Traditional Chinese Medicine,Yibin 644000,China)
出处
《临床超声医学杂志》
2025年第6期447-452,共6页
Journal of Clinical Ultrasound in Medicine
基金
国家自然科学基金项目(82202164)
北京大学第三医院临床重点项目(BYSYZD2021016)。
关键词
超声检查
造影剂
肾上腺淋巴瘤
临床
病理
Ultrasonography
Contrast agent
Adrenal lymphoma
Clinic
Pathology
