鼻腔非霍奇金淋巴瘤的影像学诊断  

Imaging diagnosis of non-Hodgkin's lymphoma in nasal cavity

作　　者：黎昕[1] 代海洋[1] 蓝博文[1] 钟华[1] 

机构地区：[1]惠州市中心人民医院放射科,广东惠州516001

出　　处：《中国临床医学影像杂志》2015年第4期232-233,246,共3页Journal of China Clinic Medical Imaging

摘　　要：目的:探讨原发于鼻腔的非霍奇金淋巴瘤的影像学特征。方法:回顾性分析13例经病理证实的原发于鼻腔的非霍奇金淋巴瘤的CT及MRI影像学表现,总结其影像学特征。结果:13例鼻腔淋巴瘤中,有12例为NK/T细胞淋巴瘤,1例为弥漫性大B细胞淋巴瘤。所有病例均为位于一侧鼻腔内的软组织影,位于鼻腔前部或占据整个鼻腔,3例伴有同侧鼻旁或鼻前庭软组织受侵、肿胀;1例伴有同侧眼眶受累侵犯;10例伴有副鼻窦炎症。所有病例均未发现鼻甲、鼻道或鼻窦的骨质破坏。结论:原发于鼻腔的非霍奇金淋巴瘤均有一定的特异的影像学征象,常规CT及MRI检查可提示诊断,最终病理分型仍需病理及免疫组化明确。Objective： To investigate the imaging features of non-Hodgkin＇s lymphoma（NHL） in nasal cavity. Methods：Thirteen cases of primary NHL confirmed by pathology located in nasal cavity were retrospectively analyzed. Results： Of the13 cases of NHL, 12 cases were NK/T cell NHL and 1 was giant B cell NHL. All cases were located in one nasal cavity unilaterally, either located in the anterior portion or fulfilling the whole nasal cavity. Three cases showed swollen or invasion of the adjacent facial soft tissue, 1 case was accompanied with any invasion of the orbit, and 10 cases were accompanied with sinus inflammation. No bone structure destruction was found in all cases. Conclusions： There are some specific imaging features of the primary NHL in nasal cavities. The conventional CT and MRI examination can supply some diagnostic indications,but the definitive pathological typing still relies on pathology and immunohistochemical methods.

关 键 词：淋巴瘤 非霍奇金 鼻肿瘤 体层摄影术 螺旋计算机 磁共振成像 

分 类 号：R739.62[医药卫生—肿瘤] R814.42[医药卫生—临床医学]