腮腺非霍奇金淋巴瘤的超声声像图表现分析

发布时间：2018-05-23 10:00

本文选题：腮腺 + 非霍奇金淋巴瘤　；参考：《中国超声医学杂志》2017年11期

【摘要】：目的分析腮腺内非霍奇金淋巴瘤超声声像图特点。方法回顾性分析我院经病理证实的15例腮腺非霍奇金淋巴瘤患者的超声表现特征。结果 15例腮腺非霍奇金淋巴瘤患者,灰阶超声表现:2例(13.33%)为弥漫性累及所有腺体,13例(86.67%)为肿块型累及部分腺体;发生于单侧腮腺的13例(86.67%),双侧的2例(13.33%);单发的11例(73.33%),多发的4例(26.67%);病灶最大径19~60 mm,平均约(38.40±11.22)mm;病灶边界清楚的12例(80.00%),形态不规则的14例(93.33%),低回声的4例(26.67%),极低回声的11例(73.33%);13例(86.67%)病灶后方回声增强,内部呈网格状的14例(93.33%),2例(13.33%)伴有液化;12例(80.00%)病灶背景腮腺回声不均匀;病灶彩色多普勒评分:0级1例(6.67%),1级2例(13.33%),2级3例(20.00%),3级9例(60.00%)。结论腮腺非霍奇金淋巴瘤好发于中老年人,超声表现有一定特征性:多表现为腮腺内极低回声团块,常单侧发病,边界清楚,形态不规则,后方回声多增强,内部回声多呈网格状,血流信号丰富,背景腮腺回声多不均匀。
[Abstract]:Objective to analyze the ultrasonographic features of parotid non-Hodgkin's lymphoma. Methods the ultrasonographic features of 15 patients with parotid non-Hodgkin's lymphoma confirmed by pathology were retrospectively analyzed. Results in 15 patients with non-Hodgkin 's lymphoma of parotid gland, the gray scale ultrasonography showed that 2 cases (13.33%) had diffuse involvement of all glands (13 cases) and 86.67% (mass type). Of the 13 patients with unilateral parotid gland, 86.67m, 2 of bilateral patients, 13.33; 11 patients with single lesion 73.33 and 4 with multiple lesions 26.67m; the lesion with a maximum diameter of 196.60 mm (mean 38.40 卤11.22 mm); 12 cases with clear lesion boundary (80.004 卤11.22 mm); 14 cases with irregular shape (93.3333T); 4 cases with hypoechoic junction (26.6767%); with extremely low echo level (26.6767%); and with the lesions with a clear boundary of 12 cases (mean 38.40 卤11.22 mm), with abnormal shape in 14 cases (93.3333%), low echo level in 4 cases (26.6767%). In 11 cases, the echo was enhanced behind the lesion in 13 cases (73.33%) and in 13 cases (86.67%). The echo of parotid gland was uneven in the background of 14 cases with meshwork (n = 14) with liquefaction in 12 cases (n = 80.005), with color Doppler score of 0 in 1 case (n = 1) and in grade 1 (n = 6.67), in 2 cases (n = 13.33), in grade 2 (n = 3) and in grade 3 (n = 60.0000), in 9 cases (n = 9). Conclusion Non-Hodgkin 's lymphoma of parotid gland is more common in the middle and old people. The ultrasonic findings are characterized by very low echo mass in parotid gland, usually on one side, with clear boundary, irregular shape, and enhanced echo in the rear of parotid gland. The internal echo was mostly reticular, the blood flow signal was abundant, and the echo of the background parotid gland was uneven.
【作者单位】：四川大学华西医院超声科;
【基金】：国家自然科学基金(No.81671696) 四川省科技厅科技支撑计划资助(No.2015SZ0125)
【分类号】：R445.1;R739.8

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