浅表器官结外淋巴瘤的超声表现  

Ultrasonic feature of superficial organ extranodal lymphoma

作　　者：宋琳琳[1] 詹维伟[1] 周建桥[1] 周伟[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院超声科,上海200025

出　　处：《诊断学理论与实践》2012年第5期471-475,共5页Journal of Diagnostics Concepts & Practice

摘　　要：目的:分析浅表器官结外淋巴瘤超声声像图特点,评价超声检查在诊断浅表器官结外淋巴瘤中的价值。方法:回顾性分析我院经手术或粗针穿刺活检病理证实的24例浅表器官结外淋巴瘤患者的超声声像图。结果:24例浅表器官结外淋巴瘤患者中,腮腺受累3例,甲状腺受累7例,乳房受累7例(其中1例双侧受累),睾丸受累6例(其中1例双侧受累),阴茎受累1例。24例浅表器官结外淋巴瘤患者共28个病灶,分别为腮腺3个,甲状腺7个,乳腺8个,睾丸7个,阴茎3个。超声声像图表现为局灶型19个,弥漫型9个。灰阶超声表现为低回声、极低回声或类囊性回声,22个病灶(78.6%)表现为后方回声增强。23个病灶(82.1%)彩色多普勒血流成像显示血供较丰富。9个病灶(32.1%)伴有周围淋巴结肿大,呈趋圆形的极低回声。结论:浅表器官结外淋巴瘤的超声表现有一定特征性,超声检查是浅表器官结外淋巴瘤筛查、诊断及随访的有效手段。Objective To analyze the ultrasound image and evaluate its diagnostic value for superficial organ extranodal lymphoma. Methods The uhrasonograms of 24 patients with superficial organ extranodal lymphoma confirmed by surgical or core needle biopsy were analyzed retrospectively. Results There were 24 patients with extranodal lymphoma,including 3 cases of salivary glands, 7 cases of thyroid, 7 cases of breast, 6 cases of testis and 1 case of penis, including lymphoma on both side for one case each of testis and breast lymphoma. Altogether there were 28 superficial organ extranodal lymphoma,ineluding 3 of salivary glands,7 of thyroid,8 of breast,7 of testis and 3 of penis.The ultrasonographic findings were classified as focal type in 19 lymphoma and diffuse type in 9 lymphoma. The gray scale imaging showed hypoeehogenicity,marked hypoechogenicity and cystoid echogenecity. Posterior enhancement was observed in 22 lymphoma （78.6%）. Color Doppler ultrasonography showed markedly increased vascularity in 23 lymphoma （82.1%）. Peripheral lymphadenopathy was noted in 9 lymphoma （32.1%）,tended to be round with marked hypoeehogeneeity. Conclusions The ultrasonogram of superficial organ extranodal lymphoma has characteristic appearance. Ultrasonography is a useful tool for the screening,diagnosis and following up of superficial organ extranodal lymphoma.

关 键 词：浅表器官 结外淋巴瘤 超声 甲状腺 腮腺 乳腺 睾丸 阴茎 

分 类 号：R455.1[医药卫生—运动医学]