9例原发性睾丸淋巴瘤的CT表现分析  

CT Features of 9 Cases of Primary Testicular Lymphoma

作　　者：张仙海[1] 马锦城 张丽丽[1] ZHANG Xian-hai;MA Jin-cheng;ZHANG Li-li(Department of Medical Imaging,The First People's Hospital of Foshan,Foshan 528000,Guangdong Province,China)

机构地区：[1]广东省佛山市第一人民医院影像科,广东佛山528000

出　　处：《中国CT和MRI杂志》2022年第12期129-131,共3页Chinese Journal of CT and MRI

摘　　要：目的分析原发性睾丸淋巴瘤(PTL)的CT影像表现在诊断和鉴别诊断中的价值。方法回顾性分析我院2010年1月至2019年10月经手术病理证实的9例原发性睾丸淋巴瘤患者的临床及CT影像资料,观察所有睾丸淋巴瘤病灶的CT平扫、双期增强扫描表现,并测量各病灶平扫、双期增强扫描的CT值,复习、结合相关文献,归纳总结其影像表现特点。结果8例为单侧睾丸发病,1例为双侧睾丸发病;病灶最大径3.7cm~11.6cm。所有病灶在CT平扫呈软组织密度影,均无钙化、出血及脂肪征象;1个病灶内少许坏死囊变;所有病灶双期增强扫描表现为动脉期至静脉期呈轻~中度延迟强化,平扫、动脉期及静脉期CT值分别为44.41±4.47 HU、60.89±10.81 HU及78.7±11.74 HU,坏死囊变区无强化,动脉期所有病灶内均见小血管影穿行。结论PTL的CT影像表现有一定特征性,结合临床病史有助于对该病的诊断和鉴别诊断。Objective To analyze the value of CT imaging in diagnosis and differential diagnosis of primary testicular lymphoma(PTL).Methods The clinical and CT imaging data of 9 cases of the PTL were retrospectively analyzed which were confirmed by surgery and pathology from January 2010 to October 2019 in our hospital,To observe the CT findings of all testicular lymphoma lesions on plain scan and dual phase enhanced scan,and measure the CT value of each lesion on plain scan and dual phase enhanced scan.Review and combine with relevant literature,summarize the imaging features.Results 8 PTLs were unilateral and 1 was bilateral,the maximum of the lesion was 3.7-11.6cm.All lesions showed soft tissue density on plain CT scan,without calcification、hemorrhageand fat,1 lesion with a little necroticcyst.All lesions showed mild to moderate delayed enhancement from arterial phase to venous phase,and the CT values of plain scan,arterial phase and venous phase were 44.41±4.47 Hu,60.89±10.81 Hu and 78.7±11.74 Hu,while the area of necroticcyst are no enhanced,and small vessel shadow was seen in all lesions in arterial phase.Conclusion CT findings of PTL have certain characteristics.And Combined with clinical history is helpful for the diagnosis and differential diagnosis.

关 键 词：体层摄影术 X线计算机 增强扫描 睾丸肿瘤 淋巴瘤 

分 类 号：R737.21[医药卫生—肿瘤]