纵隔恶性淋巴瘤肺浸润(附25例报告)  

Pulmonary Infiltration in Mediastinal Malignant Lymphoma (A Repot of 25 Cases)

作　　者：滕陈迪[1] 

机构地区：[1]浙江省温州市第二人民医院放射科,浙江温州325000

出　　处：《实用放射学杂志》2005年第3期247-249,共3页Journal of Practical Radiology

摘　　要：目的分析纵隔恶性淋巴瘤肺内浸润的临床影像表现,提高对本病的认识.方法回顾性分析经临床、病理证实25例纵隔恶性淋巴瘤肺部浸润的临床、影像表现.结果何杰金氏病9例、非何杰金氏病11例、未分型5例.胸片表现:肺炎型8例(32%),表现为模糊斑片状阴影,周围肺纹理较乱.间质型7例(28%),表现为两肺纹理广泛性增粗、紊乱,呈网状阴影.肿块型1例(4%),表现为分叶状肿块.结节型1例(4%),表现为0.3～0.8 cm结节.混合型6例(24%),肺炎型与间质型并存.粟粒型2例(8%),表现为两肺满布细小点状影.化放疗后肺内病变吸收好转12例(48%),病变增多增大9例(36%),无病变4例(6%).结论纵隔恶性淋巴肿瘤肺内浸润多为肺炎型、间质型和混合型.放疗加化疗是理想的治疗方案.Objective To analyse the clinical and X-ray manifestations of pulmonary infiltration in mediastinal malignant lymphoma in order to improve the knowledge of this disease. Methods The clinical and X-ray features of pulmonary infiltration in mediastinal malignant lymphoma confirmed by clinic and pathology were retrospectively analysed. Results There were Hodgkin’s disease (HD)in 9, Non-Hodgkin disease(N-HD)in 11 and no classified in 5. Imaging findings included: patch infiltration in pneumonic type(in 8 cases), reticular shadow in interstitial type(in 7 cases).Lobulated mass in mass type(in 1 case).Node(0.3~0.8 cm in diameter)in nodular type (in 1 case),patch infiltration together with reticular in mixed type (in 6 cases),and extremely small nodules distributed throughout the entire lung in milliary type (in 2 cases).After chemico-radiotherapy, 12 cases were improved, 9 cases were worse and 4 cases were no change.Conclusion The pulmonary infiltration in mediastinal malignant lymphoma is most seen in the pneumonic,interstitical and mixed type,chemico-radiotherapy is an ideal therapeutic method for this disease.

关 键 词：胸部 淋巴瘤 X线摄影 体层摄影术 X线计算机 

分 类 号：R735.5[医药卫生—肿瘤] R814.42[医药卫生—临床医学]