肺原发性非霍奇金淋巴瘤的影像学表现与临床病理对照  

Primary Pulmonary Non-Hodgkin's Lymphoma: Imaging Findings and Pathology

作　　者：彭泽华[1] 冉晓东[2] 付凯[1] 赵世煜[1] 陈德忠[3] 

机构地区：[1]四川省人民医院放射科,成都610071 [2]四川省第二人民医院放疗科 [3]四川省人民医院病理科,成都610071

出　　处：《临床放射学杂志》2003年第2期110-113,共4页Journal of Clinical Radiology

摘　　要：目的　探讨肺原发性非霍奇金淋巴瘤 (PPNHL)的影像学表现。资料与方法　回顾性分析经手术和 /或病理证实的PPNHL 7例的影像学和临床病理所见 ,并复习文献。结果　 7例PPNHL中肺内单发肿块 5例 ,肿块边界不清呈磨玻璃状 3例 ,分叶状肿块 4例 ;肺炎样改变和肺段实变各 1例。MRI检查 (2例 )病灶在T1WI呈等信号 ,T2 WI呈等高信号。B淋巴细胞性 3例 ,T淋巴细胞性 2例 ,另 2例未分型。结论　PPNHL罕见 ,临床无特异性 ,肺内单发分叶状肿块且边界呈磨玻璃状改变是本病较特异的征象 ,确诊依靠病理检查。Objective To study the imaging manifestations of primary pulmonary non Hodgkin's lymphoma (PPNHL).Materials and Methods Imaging features, including plain chest film (n=7), CT (n=5) and MRI (n=2), and pathologic findings in 7 patients with pathologically proved PPNHL were retrospectively analyzed. Related references were reviewed.Results Of 7 cases, solitary pulmonary mass was seen in 5, in 3 of which the lesion had indistinct border and presented as ground glass shadow, and in 4 of which the lesion was lobulated. For the remaining 2cases, pneumonia shadow and segmental consolidation was seen in one each. On MRI of 2 cases, the lesions were iso signal on T 1WI and iso or high signal on T 2WI. Pathologically, B lymphocyte type was seen in 3, T lymphocyte type in 2 and not typed in 2 cases.Conclusion PPNHL is a rare disease. Clinically, it has no specific features. Solitary pulmonary lobulated mass with blurred border and ground glass shadow is a relatively characteristic imaging finding, nevertheless, it is depended on pathologic examination to establish the diagnosis.

关 键 词：肺原发性非霍奇金淋巴瘤 影像学表现 临床病理 手术 病理 

分 类 号：R734.2[医药卫生—肿瘤]