原发性肺淋巴瘤的螺旋CT表现及病理特点  

Spiral CT manifestations and pathologic features of primary pulmonary lymphoma

作　　者：钟涛[1] 

机构地区：[1]濮阳市油田总医院放射科,河南457001

出　　处：《放射学实践》2013年第4期401-404,共4页Radiologic Practice

摘　　要：目的:探讨原发性肺淋巴瘤(PPL)的螺旋CT表现及病理特点,以提高对该病的诊断准确性。方法:回顾性分析11例经病理证实的原发性肺淋巴瘤的螺旋CT及病理资料。结果:11例PPL的CT表现主要分为:结节肿块型6例;肺炎或肺泡型4例;粟粒型1例。11例按照病理结果分为:非霍奇金淋巴瘤9例,其中低度恶性小B细胞淋巴瘤4例(其中3例为肺炎肺泡型)、高度恶性大B细胞淋巴瘤4例(均为结节肿块型)、血管中心性淋巴瘤1例(粟粒型);霍奇金淋巴瘤2例。结论:PPL的螺旋CT表现缺乏特异性,其病理分型与CT表现有一定相关性,最终确诊断主要依靠病理结果。Objective：To study the spiral CT findings and pathological characteristics of primary pulmonary lympho- ma （PPL）,in order to improve the diagnostic accuracy of the disease. Methods CT and pathology datas of 11 patients with pathology confirmed PPL were retrospectively analyzed. Results 11 PPLs could be divided into three types according to the CT manifestations ： nodular mass type （ n = 6）, pneumonia with alveolar type （n = 4）, military type （ n = 1 ）. 11 PPLs could be derided into two types according to the pathological reports; non-Hodgkin＇s lymphoma （n=9） and Hodgkin＇s lymphome （n= 2）. In the non-Hodgkin＇s lymphoma,there 4 cases of low-grade B-cell lymphoma （3 of the 4 cases presenting CT fea- tures of pneumonia type）,4 cases of highly malignant B-cell lymphoma （all presenting CT features of nodular-mass type） , and one case of angiocentric lymphoma. Conclusion： Spiral CT manifestations of PPL lack of specificity, the pathological type and CT manifestations have certain correlation,the final diagnosis depends on pathology.

关 键 词：肺肿瘤 淋巴瘤 体层摄影术 X线计算机 病理学 

分 类 号：R734.2[医药卫生—肿瘤]