艾滋病相关腹部淋巴瘤的临床及CT表现特征

发布时间：2018-05-05 19:40

本文选题：淋巴瘤 + 获得性免疫缺陷综合征　；参考：《放射学实践》2015年09期

【摘要】：目的:总结分析艾滋病相关腹部淋巴瘤的CT表现特征,对比非艾滋病与艾滋病相关淋巴瘤(ARL)的临床及影像学表现异同。方法:回顾性分析28例经手术病理证实的艾滋病相关淋巴瘤患者的临床及CT表现。结果:28例艾滋病相关淋巴瘤中霍奇金病1例,非霍奇金淋巴瘤27例,受累脏器包括肝脏10例、脾脏9例、胰腺6例、肾脏5例、胃肠道8例、结内病变23例。病变器官解剖结构留存,病灶多数密度均匀,呈轻中度均匀强化,小部分病变中央出现坏死,呈环形轻中度强化。淋巴结以腹主动脉周围、腹腔干周围、肠系膜、肠系膜根部最为好发。ARL病灶侵袭性高,累及范围广,对放化疗反应性较差。结论:ARL的CT表现具有一定特征性,结合临床表现,有利于提高诊断符合率。
[Abstract]:Objective: to summarize the CT features of AIDS-associated abdominal lymphoma and compare the clinical and imaging features of AIDS-associated lymphoma with AIDS-associated lymphoma. Methods: the clinical and CT findings of 28 patients with AIDS-associated lymphoma confirmed by operation and pathology were retrospectively analyzed. Results among 28 cases of AIDS-related lymphoma, one case was Hodgkin's disease and 27 cases were non-Hodgkin 's lymphoma. The involved organs included liver (10 cases), spleen (9 cases), pancreas (6 cases), kidney (5 cases), gastrointestinal tract (8 cases), and nodal lesion (23 cases). The anatomical structure of the diseased organs remained, the density of most lesions was even, the lesions showed mild to moderate homogeneous enhancement, a small number of lesions showed necrosis in the center, and the lesions were ring mildly and moderately enhanced. The lymph nodes around the abdominal aorta, around the celiac trunk, mesentery and mesentery root were the most aggressive and involved, and the reactivity to radiotherapy and chemotherapy was poor. Conclusion the CT findings of 10% ARL have some characteristics, and combined with clinical manifestations, it is helpful to improve the diagnostic coincidence rate.
【作者单位】：上海市公共卫生临床中心放射科;
【分类号】：R512.91;R733.4;R730.44

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