摘要
目的本文旨在初步探讨肝脏原发性淋巴瘤的三期螺旋CT增强扫描表现及临床特点。方法回顾性分析经手术或活检后病理证实的14例肝原发性淋巴瘤的CT表现,男10例,女4例,患者中位年龄55岁;术前均行肝脏三期螺旋CT增强扫描,分析患者临床资料特征。结果单发病灶11例,多发病灶(2个)3例;术前均误诊,12例有HBV指标阳性;LDH不同程度增高,与患者恶性度相关。8例行手术切除,另6例行活检。病理证实为非霍奇金淋巴瘤12例,霍奇金淋巴瘤2例。14例肿瘤术前均行CT三期扫描,平扫为低密度,动脉期无明显强化,延迟轻度强化的乏血供肿瘤,出现血管漂浮征3例,出现条状坏死4例。结论肝脏原发性淋巴瘤临床上容易误诊,螺旋CT增强三期表现具有一定特征性,结合临床相关检查可提示诊断。
Objective To investigate the clinical features and CT characteristics of primary hepatic lymphoma. Methods CT data and clinical features of 14 patients （10 male, 4 female, with medium age of 55 years） with surgery or biopsy proved of primary hepatic lymphoma were retrospectively analyzed..Results There was single lesion in 11 cases and multi-foci in 3 cases..HBV antigen was positive in 11 patents and HCV antigen was positive in 1 patent..The LDH level increased and related to the pathological grade of PHL..All the 14 patents were misdiagnosed preoperatively..8 patients received resection,.and 6 received biopsy..Unenhanced CT showed hypoattenuating lesions,.and enhanced CT showed mild enhancement..Vessel floating sign was appeared in 3 cases..And striped necrosis was showed in 4 cases..Conclusion Early diagnose primary hepatic lymphoma is difficult,.and the CT manifestation of liver primary lymphoma has characteristics,.which is useful for the disease diagnosing combined with clinical information.
出处
《影像诊断与介入放射学》
2015年第2期118-122,共5页
Diagnostic Imaging & Interventional Radiology
