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《淋巴瘤肺浸润的CT表现和病理对比_曾苗雨》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。
1、放射学实践2010年9月第25卷第9期RadiolPractice,Sep2010,Vol25,No.91007·胸部影像学·淋巴瘤肺浸润的CT表现和病理对比曾苗雨,赵振军,张金娥,李景雷,刘艳辉【摘要】目的:探讨淋巴瘤肺浸润的特征性CT表现和病理学特征,以提高对本病的认识。方法:回顾性分析23例经病理证实的淋巴瘤肺浸润的CT影像资料,并与组织病理学和手术结果比较。结果:23例淋巴瘤中霍奇金淋巴瘤5例,非霍奇金淋巴瘤18例。单发病灶7例,多发病灶16例。肺叶肺段型9例,结节肿块型8例,混合型6例。CT病理对比研究显示支气管充气征(
2、14/23,60.87%)、CT血管造影征(12/23,52.17%)、磨玻璃结节(3/23,13.04%),跨叶病灶(4/23,17.39%)为较具特征性的征象,对诊断意义较大。结论:淋巴瘤肺浸润CT表现具有一定的特征性,对淋巴瘤肺浸润的诊断具有一定的临床价值。【关键词】肺肿瘤;淋巴瘤;体层摄影术,X线计算机;病理学【中图分类号】R734.2;R814.42【文献标识码】A【文章编号】1000-0313(2010)09-1007-04Pulmonaryinvolvementoflymphoma:CTfeatureswithpat
3、hologiccorrelationZENGMiao-yu,ZHAOZhen-jun,ZHANGJin-er,etal.DepartmentofRadiology,GuangdongGenaralHospital,GuangdongAcademyofMedicalSciences,Guangzhou510080,P.R.China【Abstract】Objective:ToanalyzetheCTandpathologyfeaturesofpulmonaryinvolvementoflymphomaandtoim-provethe
4、understandingofthisdisease.Method:TheCTfindingsof23caseswithpulmonaryinvolvementoflymphomawereretrospectvelyanalyzedandcorrelatedwithhistopathology.Results:Ofthe23caseswithpulmonaryinvolvementoflymphoma,therewereHodgkinlymphoma(5cases)andnon-Hodgkinlymphoma(18cases).M
5、ultiplelesionswereassessedin16casesandsinglelesionin7cases.Theimagingfindingswereclassifiedinto3types:lobarandsegmentalinvolvement(9/23cases,39.13%),nodularormass-likeinvolvement(8/23cases,34.78%)andmixedtype(6/23cases,26.09%).Airbronchogram(14/23cases,60.8%),CTangiog
6、ramsign(12/23cases,52.17%),groundglassopacitylikenodules(3/23cases,13.04%)andlesionacrosspulmonarylobes(4/23cases,17.39%)werethecharacteristicfeaturesofpulmonaryin-volvementoflymphoma.Conclusions:RelativecharacteristicCTfeaturesofpulmonaryinvolvementoflymphomacouldber
7、evealed,whichshowsclinicalsignificanceinthediagnosisofthedisease.【Keywords】Lungneoplasms;Lymphoma;Tomography,X-raycomputed;Pathology淋巴瘤为一组病因不明的累及全身淋巴网状系统所有病例实验室检查血常规及肿瘤标志物检测的以淋巴组织过度增生为特征的恶性免疫细胞性肿(CEA,CA125,CA153)结果均在正常范围。瘤。临床上,淋巴瘤肺浸润罕见,影像学表现有一定特2.CT扫描征。本文回顾性分析23例淋巴瘤肺浸
8、润病例的影像CT扫描采用64层或8层螺旋CT扫描机(GE资料,并与组织病理和手术结果进行比较,旨在探讨其LightSpeedVCT,GELightSpeed8,美国GE公司),特征性CT表现,提高对本病的认识。行常规全胸平扫和增强扫描。扫描参数:重
