肺黏膜相关淋巴组织淋巴瘤MSCT诊断价值

发布时间：2018-02-05 03:22

本文关键词： 肺淋巴瘤体层摄影术 X线计算机诊断　出处：《临床放射学杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的研究肺黏膜相关淋巴组织(MALT)淋巴瘤的MSCT表现及诊断价值。方法回顾性分析34例经病理证实的肺MALT淋巴瘤患者的CT表现。结果 34例肺MALT淋巴瘤患者中,多发21例,单发13例;MSCT表现为4种类型:(1)结节、肿块型12例(35.3%),支气管血管束周围分布,其中2例见胸膜下分布,9例见充气支气管征。(2)肺炎实变型16例(47.1%),2例见跨叶分布,14例见充气支气管征,伴支气管扩张6例,空洞4例。(3)支气管血管淋巴管型1例(2.9%)。(4)混合型5例(14.7%),5例均见充气支气管征,伴有支扩1例,空洞1例。34例中胸腔积液2例,胸膜增厚6例,纵隔淋巴结肿大2例。25例增强后均强化均匀,19例见血管造影征。结论肺MALT淋巴瘤影像表现常为肺内多发/单发结节、肿块或实变影,强化均匀,伴有充气支气管征和血管造影征,结合其惰性生长的临床特点,可提示肺MALT淋巴瘤的诊断。
[Abstract]:Objective to study the lung mucosa-associated lymphoid tissue (MALTT). Methods CT findings of 34 cases of lung MALT lymphoma confirmed by pathology were retrospectively analyzed. Results 34 cases of pulmonary MALT lymphoma were studied retrospectively. Multiple in 21 cases, single in 13 cases; MSCT showed 4 types of 1 / 1) nodules, 12 cases of mass type (35. 3%) and around the tracheobronchial tracts, 2 of which showed subpleural distribution. In 9 cases, the inflatable bronchitis sign was found in 16 cases of pneumonitis consolidation type. There were 2 cases with translobar distribution and 14 cases with bronchiectasis, and 6 cases with bronchiectasis. The bronchitis sign was found in 5 cases with bronchovascular lymphatic vessel type (n = 5) with bronchiolymphatic vessel type (n = 5) and bronchitis with bronchiectasis in 1 case (n = 5). Among them, 2 cases had pleural effusion, 6 cases had pleural thickening, and 2 cases had mediastinal lymphadenopathy. Conclusion Pulmonary MALT lymphoma is usually characterized by multiple / solitary pulmonary nodules, mass or consolidation, homogeneous enhancement, inflatable bronchogram and angiographic sign. Combined with the clinical characteristics of inert growth, the diagnosis of pulmonary MALT lymphoma can be suggested.
【作者单位】：上海市杨浦区市东医院影像科;新疆石河子市人民医院影像中心;同济大学附属上海市肺科医院影像科;
【分类号】：R730.44;R734.2
【正文快照】： 作者单位:200438上海市杨浦区市东医院影像科(陆杨);832000新疆石河子市人民医院影像中心(杨春燕);200433同济大学附属上海市肺科医院影像科(尤小芳);*通讯作者肺黏膜相关淋巴组织(mucosa-associated lymph-oid tissue lymphoma,MALT)淋巴瘤是结外淋巴瘤一种少见类型,约占肺原

【参考文献】