肌肉淋巴瘤超声图像分析及鉴别诊断  

Ultrasound Image Analysis and Differential Diagnosis of Muscle Lymphoma

作　　者：杨杨[1] 徐惠君 徐泉 王莹[1] 袁韵 张菁[1] Yang Yang;Xu Huijun;Xu Quan;Wang Ying;Yuan Yun;Zhang Jing(Department of Ultrasound,The First Affiliated Hospital of USTC,Hefei 230031,China;Department of Oncology,The First Affiliated Hospital of USTC,Hefei 230031,China)

机构地区：[1]中国科学技术大学附属第一医院西区(安徽省肿瘤医院)超声科,合肥市230031 [2]中国科学技术大学附属第一医院西区(安徽省肿瘤医院)肿瘤内科,合肥市230031

出　　处：《中国超声医学杂志》2024年第3期349-351,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 分析肌肉淋巴瘤超声图像特征,提高超声对其诊断水平。方法 分析10例经病理证实为肌肉淋巴瘤超声图像特征,包括部位、大小、形态、边界、生长方式、内部回声、血流信号、阻力指数等特征。结果 10例病灶均经粗针穿刺活检病理证实,原发6例,继发4例;超声表现为低回声肿块,形态规则或欠规则,边界尚清或呈浸润状,内部回声较均匀,均未见液化及钙化,7例病灶内见条索状高回声肌纤维,3例病灶周边软组织淋巴水肿,大多病灶具有丰富的血流信号。结论 肌肉淋巴瘤超声图像具有一定特征,如内部条索状高回声肌纤维和周边淋巴水肿等,掌握这些特征可以提高超声对其诊断水平。Objective To analyze the ultrasound image features,in order to improve the ultrasonic diagnosis level of muscle lymphoma.Methods 10 cases of ultrasound image features of muscle lymphoma which confirmed by pathology were analyzed,including location,size,shape,boundary,growth mode,internal echo,blood flow signal,resistance index,and other characteristics.Results The diagnoses of all 10 lesions were confirmed by the coarse needle biopsy pathology,including 6 primary lymphoma and 4 secondary lymphoma;The ultrasound manifestation was a hypoechoic mass,with regular or irregular morphology,clear or infiltrating boundaries,and relatively uniform internal echoes.No liquefaction or calcification was observed in all cases.In 7 cases,cordlike hyperechoic muscle fibers could be observed in the lesion,and in other 3 cases,a peripheral soft tissue lymphedema could be found.Most lesions had rich blood flow signals.Conclusions Ultrasound images of muscle lymphoma have certain characteristics,such as internal cordlike hyperechoic muscle fibers and peripheral lymphedema,which can be used to improve its ultrasonic diagnosis level.

关 键 词：肌肉 淋巴瘤 超声图像 鉴别诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R781.7[医药卫生—诊断学]