脾脏占位性病变的影像学表现  

Imaging findings of spleen space-occupying lesions

作　　者：雷露 吕雪飞 杨玲 孙玉 朱谦 梁波[2] LEI Lu;LYU Xuefei;YANG Ling;SUN Yu;ZHU Qian;LIANG Bo(Department of Radiology,Wuhan Red Cross Hospital,Wuhan 430015,China;Department of Radiology,Union Medical College Afiliated to Tongji Medical College,Huazhong University of Science and Tech-nology,Wuhan 430022,China)

机构地区：[1]湖北省武汉市红十字会医院放射科,湖北武汉430015 [2]华中科技大学同济医学院附属协和医院放射科,湖北武汉430022

出　　处：《医学影像学杂志》2023年第5期790-793,共4页Journal of Medical Imaging

摘　　要：目的探讨脾脏占位性病变的影像学表现。方法选取45例经临床及病理证实的脾脏占位性病变患者的临床及影像学资料进行回顾性分析。结果45例患者中良性病变20例,其中血管瘤17例,错构瘤1例,假性囊肿1例,脾结核1例;恶性病变25例,其中淋巴瘤17例,转移瘤7例,炎性假瘤样滤泡树突细胞肉瘤1例。CT和MRI不仅可清楚显示病灶的形态、大小、数目、密度/信号、强化方式,还可显示脾脏的大小、周围淋巴结是否肿大、邻近脏器的改变。结论脾脏占位性病变种类繁多,不同病变具有一定的影像学特征,正确识别这些征象可以有效提高诊断的准确性。Objective To investigate the imaging manifestations of splenic space occupying lesions. Methods The clinical and imaging data of 45 patients with splenic space occupying lesions confirmed by clinic and pathology were analyzed retrospectively. Results There were 20 cases of benign lesions in 45 patients, including 17 cases of hemangioma, 1 case of hamartoma, 1 case of pseudocyst and 1 case of splenic tuberculosis;There were 25 cases of malignant lesions, including 17 cases of lymphoma, 7 cases of metastasis and 1 case of inflammatory pseudotumor like follicular dendritic cell sarcoma. CT and MRI can not only clearly show the shape, size, number, density/signal, enhancement mode of the lesions, but also show the size of the spleen, whether the surrounding lymph nodes were enlarged, and the changes of adjacent organs. Conclusion There are many kinds of splenic space occupying lesions, and different lesions have certain imaging features. Correct recognition of these signs can effectively improve the accuracy of diagnosis.

关 键 词：脾脏 占位性病变 影像学表现 

分 类 号：R733.2[医药卫生—肿瘤] R445[医药卫生—临床医学]