儿童原发性睾丸淋巴瘤高频超声表现及临床特征  

High-frequency ultrasonographic characteristics and clinical features of primary testicular lymphoma in children

作　　者：周蔚[1] 李守林[1] 王浩[1] 刘晓东[1] 陈进军[1] 姜俊海[1] 文建国[2] 姚飞 刁宏旺 ZHOU Wei;LI Shou-lin;WANG Hao;LIU Xiao-dong;CHEN Jin-jun;JIANG Jun-hai;WEN Jian-guo;YAO Fei;DIAO Hong-wang(Department of Urology,Shenzhen Children's Hospital,Shenzhen,Guangdong 518038,China;Department of Urology and Center of Pediatric Urodynamics,The First Affiliated Hospital of Zhengzhou University,Zhengzhou, Henan 450052,China)

机构地区：[1]深圳市儿童医院泌尿外科,广东深圳518038 [2]郑州大学第一附属医院泌尿外科和小儿尿动力中心,河南郑州450052

出　　处：《中华男科学杂志》2018年第12期1100-1105,共6页National Journal of Andrology

基　　金：国家自然科学基金(81370869);深圳市"医疗卫生三名工程"项目(SZSM201612013);深圳市卫生计生系统科研项目(SZFZ2017005)~~

摘　　要：目的:探讨儿童原发性睾丸淋巴瘤(PTL)的高频超声表现及临床特征。方法:回顾性分析11例手术病理证实儿童PTL的超声表现及临床资料。结果:儿童PTL多见于学龄期儿童,以无痛性阴囊增大为首发症状; 11例中术前灰阶超声累及单侧睾丸8例,双侧睾丸3例,合并附睾受累2例。11例中9例病变呈弥漫型,2例病变呈结节型,病变区域呈极低回声,彩色多普勒超声显示病变内血流信号丰富,所有病变内均无液化及钙化回声;经手术病理确诊及化疗后超声随访:11例中睾丸病变完全消退3例,部分缩小3例,无明显变化1例,增大4例。结论:儿童PTL超声表现具有一定特异性,加强对本病声像图和临床特征的认识,有助于提高超声诊断准确率。Objective: To investigate the high-frequency ultrasonographic characteristics and clinical features of primary testicular lymphoma( PTL) in children. Methods: We retrospectively analyzed the high-frequency ultrasonographic manifestations and clinical characteristics of 11 cases of PTL in children,all confirmed by postoperative pathology. Results: Most of the PTL patients were school-age children,with painless testicular enlargement as the initial symptom. Preoperative grey-scale ultrasonography showed involvement of the unilateral testis in 8,bilateral testes in 3,and both the testis and epididymis in 2 of in the 11 children with PTL.Nine of the cases were displayed as diffuse lesion and the other 2 as nodular lesion,all with extremely low echogenicity. Color Doppler flow imaging( CDFI) revealed abundant blood flow signals but no liquefaction or calcification echo in the lesions. Follow-up ultrasonography after immunochemotherapy showed complete disappearance of the lesion in 3 cases,reduction in another 3,no significant change in 1,and enlargement in the other 4. Conclusion: PTL in children has some specific ultrasonographic characteristics. A deeper insight into the ultrasonographic characteristics and clinical features of PTL may help improve ultrasonographic diagnosis of the disease.

关 键 词：儿童 原发性睾丸淋巴瘤 超声检查 

分 类 号：R737.21[医药卫生—肿瘤] R445.1[医药卫生—临床医学]