肺内淋巴瘤的影像诊断  

Imaging Diagnosis of Lymphoma in the Pulmonary Region

作　　者：杨竟博 王晶晶 马勇[1] 陶智慧[1] YANG Jingbo;WANG Jingjing;MA Yong(Harbin 242 Hospital,Harbin 150066,China)

机构地区：[1]哈尔滨二四二医院,哈尔滨150066

出　　处：《航空航天医学杂志》2021年第11期1288-1289,共2页Journal of Aerospace medicine

摘　　要：目的探讨肺内淋巴瘤的影像学特征及表现。方法选择2016年3月-2020年6月收治的30例肺内淋巴瘤患者为研究对象,均行CT、腹部超声检查,其中行气管分叉和肺内病灶薄层扫描检查12例,其余行常规胸部CT检查18例,回顾性分析临床资料。结果所有患者均顺利完成检查,可见多发或单发肺肿块、结节,其中可见空洞4例,可见空气支气管征8例,病灶边缘表现为磨玻璃样或者棉絮状25例;合并双肺多发栗粒结节6例,合并双肺磨玻璃样变或细网状结构20例;同时,肺假性淋巴瘤8例,主要以空气支气管征为主的双肺多发大片浸润为主要表现,无肺门及纵隔淋巴结肿大。结论肺淋巴结影像表现呈现出多样化的特点,往往合并肺间质变、肺内斑片影,应该及时行病理检查,减少漏诊或误诊。Objective To explore the imaging characteristics and manifestations of intrapulmonary lymphoma. Methods 30 patients with pulmonary lymphoma from March 2016 to June 2020 were selected for CT, abdominal B-ultrasound, 12 were examined with tracheal bifurcation and pulmonary lesion, 18 were chest CT, and clinical data were analyzed retrospectively. Results All patients successfully completed the examination, including multiple or single lung nodules, Among them, 4 cases were cavitary, 8 cases were air bronchogram, 25 cases showed ground-glass opacity or cotton-wool-like edge, 6 cases were complicated with chestnut nodules, 20 cases were complicated with ground-glass opacity or fine-reticular structure, there were 8 cases of pulmonary pseudolymphoma, which mainly presented as air bronchial sign with multiple large infiltration of both lungs without hilum and mediastinal lymphadenopathy. Conclusions Pulmonary lymph nodes show diverse characteristics, often combined with inter lung quality and lung plaque, and pathological examination should be conducted to reduce missed diagnosis or misdiagnosis.

关 键 词：X线计算机 体层摄影术 假淋巴瘤 淋巴瘤 肺 

分 类 号：R733.4[医药卫生—肿瘤]