摘要
目的:探讨儿童原发性睾丸淋巴瘤(PTL)的高频超声表现及临床特征。方法:回顾性分析11例手术病理证实儿童PTL的超声表现及临床资料。结果:儿童PTL多见于学龄期儿童,以无痛性阴囊增大为首发症状; 11例中术前灰阶超声累及单侧睾丸8例,双侧睾丸3例,合并附睾受累2例。11例中9例病变呈弥漫型,2例病变呈结节型,病变区域呈极低回声,彩色多普勒超声显示病变内血流信号丰富,所有病变内均无液化及钙化回声;经手术病理确诊及化疗后超声随访:11例中睾丸病变完全消退3例,部分缩小3例,无明显变化1例,增大4例。结论:儿童PTL超声表现具有一定特异性,加强对本病声像图和临床特征的认识,有助于提高超声诊断准确率。
Objective: To investigate the high-frequency ultrasonographic characteristics and clinical features of primary testicular lymphoma( PTL) in children. Methods: We retrospectively analyzed the high-frequency ultrasonographic manifestations and clinical characteristics of 11 cases of PTL in children,all confirmed by postoperative pathology. Results: Most of the PTL patients were school-age children,with painless testicular enlargement as the initial symptom. Preoperative grey-scale ultrasonography showed involvement of the unilateral testis in 8,bilateral testes in 3,and both the testis and epididymis in 2 of in the 11 children with PTL.Nine of the cases were displayed as diffuse lesion and the other 2 as nodular lesion,all with extremely low echogenicity. Color Doppler flow imaging( CDFI) revealed abundant blood flow signals but no liquefaction or calcification echo in the lesions. Follow-up ultrasonography after immunochemotherapy showed complete disappearance of the lesion in 3 cases,reduction in another 3,no significant change in 1,and enlargement in the other 4. Conclusion: PTL in children has some specific ultrasonographic characteristics. A deeper insight into the ultrasonographic characteristics and clinical features of PTL may help improve ultrasonographic diagnosis of the disease.
作者
周蔚
李守林
王浩
刘晓东
陈进军
姜俊海
文建国
姚飞
刁宏旺
ZHOU Wei;LI Shou-lin;WANG Hao;LIU Xiao-dong;CHEN Jin-jun;JIANG Jun-hai;WEN Jian-guo;YAO Fei;DIAO Hong-wang(Department of Urology,Shenzhen Children's Hospital,Shenzhen,Guangdong 518038,China;Department of Urology and Center of Pediatric Urodynamics,The First Affiliated Hospital of Zhengzhou University,Zhengzhou, Henan 450052,China)
出处
《中华男科学杂志》
CAS
CSCD
北大核心
2018年第12期1100-1105,共6页
National Journal of Andrology
基金
国家自然科学基金(81370869)
深圳市"医疗卫生三名工程"项目(SZSM201612013)
深圳市卫生计生系统科研项目(SZFZ2017005)~~
关键词
儿童
原发性睾丸淋巴瘤
超声检查
primary testicular lymphoma
children
ultrasonography
