原发性肺淋巴瘤CT特征分析

发布时间：2018-02-16 23:36

本文关键词： 肺淋巴瘤原发性体层摄影术 X线计算机鉴别诊断　出处：《放射学实践》2017年08期 　论文类型：期刊论文

【摘要】：目的:探讨原发性肺淋巴瘤(PPL)的CT表现,提高CT对该病的诊断准确性。方法:回顾性分析本院经病理证实的22例PPL患者的CT资料,主要观察内容包括肿瘤的发病部位、形态、数目、密度、特殊征象及强化程度等。结果:22例中结节或肿块型13例,肺炎或肺泡型7例,混合型2例。肿瘤密度较均匀19例,呈中度-明显均匀强化19例。11例出现空气支气管征,15例出现血管造影征,8例出现跨叶征,4例出现扇形征,4例出现空泡征。5例可见肺门及纵隔淋巴结肿大。结论:原发性肺淋巴瘤的CT表现缺乏特异性,确诊需依赖组织病理学检查。
[Abstract]:Objective: To investigate the primary pulmonary lymphoma (PPL) of the CT performance, improve the diagnostic accuracy of CT for the disease. Methods: retrospective analysis of our hospital in 22 patients with pathologically confirmed PPL patients with CT data, the main contents include observation location, tumor morphology, number, density, degree of enhancement and special signs. Results: the nodules or masses in 22 cases, 13 cases of pneumonia or alveolar type in 7 cases, 2 cases of mixed type tumors with homogeneous density. 19 cases showed moderate to obvious homogeneous enhancement in 19 cases.11 cases of air bronchogram, 15 cases of angiography syndrome, 8 cases of cross leaf syndrome, 4 cases fan sign, 4 cases of.5 cases of vacuole sign and mediastinal lymph node enlargement of portal visible lung. Conclusion: CT manifestations of primary pulmonary lymphoma lack of specificity. The diagnosis depends on histopathological examination.

【作者单位】：郑州大学第一附属医院放射科;
【分类号】：R730.44;R734.2

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