摘要
目的:研究原发性肺淋巴瘤的CT表现,提高CT诊断水平。材料和方法:回顾性分析8例经病理证实的原发性肺淋巴瘤胸部CT表现。结果:CT平扫表现为肺的单发肿块3例,结节4例(其中多发3例),多发片状影1例,5例出现充气支气管征,周围间质浸润5例,6例行增强扫描,病灶增强明显,CT平均值增加42.7Hu。结论:原发性肺淋巴瘤是一种少见病,CT表现缺乏特征性,但充气支气管征及周围间质浸润的出现以及没有肺门、纵隔淋巴结肿大,可提示本病的可能,应积极行穿刺病理明确诊断。
Purpose： To develop the diagnostic level of primary pulmonary lymphomas through reviewing the CT findings of primary pulmonary lymphomas confirmed pathologically. Materials and Methods： The CT examinations of 8 patients with pathologically proven primary pulmonary lymphoma were retrospectively reviewed. Results： Pulmonary lesions were depicted as solitary mass in 3 patients, nodules in 4 and multiple patchy opacities in 1 patient. Air bronehogram was present in 5 patients, interstitial infiltrates in 5. The lesions showed obvious enhancement in 6 cases who received contrasted CT scan and CT value increased 42.7 Hu. Conclusions： Primary pulmonary lymphoma is a rare disease and CT appearance can be quite variable. More common imaging features include air bronchogram, interstitial infiltrates and no hilar and mediastinal lymphadenopathy. Biopsy is recommended to obtain pathologic diagnosis of primary pulmonary lymphoma.
出处
《中国医学影像学杂志》
CSCD
北大核心
2009年第1期42-45,共4页
Chinese Journal of Medical Imaging
