摘要
目的:探讨原发性肝淋巴瘤的超声诊断价值。材料和方法:回顾性分析8例原发性肝淋巴瘤的临床表现和超声声像图表现。结果:8例均有右上腹不适和发热,6例单发,2例多发,超声声像图均表现为低回声病灶,有5例超声提示肝恶性肿瘤(包括2例提示为肝癌),但未作出肝淋巴瘤的诊断。化疗后病灶回声由低变强,逐渐缩小至消失。结论:原发性肝淋巴瘤临床及超声等影像学表现无特异性,须综合分析。确诊需超声引导下组织学检查及免疫组化测定。
Purpose： The diagnostic value of ultrasound in primary hepatic lymphoma（PHL） was investigated. Materals and Methods： Clinical manifestation and ultrasonographic features of of PHL in 8 cases were retrospectively analyzed. The diagnosis was finally confirmed by histological study. Results： The most frequently encountered symptoms of PHL were right upper quadrant pain and fever. There were soli-tary lesion in 6 cases and multiple lesions in 2. All lesions of PHL were hypoechonic relative to the surrounding normal liver on ultrasound. The diagnosis of hepatic malignant tumors was made by ultrasonography in 5 cases （ including the mis-diagnosis of hepatic cellular carcinoma in 2）, but none was diagnosed as PHL initially. The internal echoes of the lesions were becoming stronger and the sizes reduced gradually or even disappeared after chemotherapy. Conclusion： The clinical presentation and ultrasonographic features of PHL are non-specific, therefore histology under the guidance of ultrasound is required in all patients suspected of PHL.
出处
《中国医学影像学杂志》
CSCD
2006年第4期250-252,共3页
Chinese Journal of Medical Imaging
关键词
肝肿瘤
淋巴瘤
超声
liver neoplasm
lymphoma
ultrasonography
