睾丸淋巴瘤超声诊断价值

目的探讨睾丸淋巴瘤治疗前后的超声声像图特点及其诊断价值。方法对13例经超声引导下穿刺活检病理证实的睾丸淋巴瘤超声声像图表现进行回顾性分析。结果睾丸淋巴瘤多好发于老年男性,均以无痛性睾丸肿大为首发症状。9例发生在单侧,4例发生在双侧。10例局灶型,3例弥漫型,均未累及附睾,精索和腹股沟异常淋。治疗前超声正确诊断7例。病灶的声像图表现均为不均质低回声,与睾丸实质界限清。CDFI示13例病灶内部血管均走行紊乱,数量增多,血流信号均为3级。13例中6例行化疗或化疗加放疗后病灶体积缩小,尽管回声无明显变化,但与睾丸实质界限变得不清晰。6例化、放疗病灶内4例血流信号由3级降至1级,1例降至正常睾丸实质水平,仅1例血流信号无明显变化。结论超声对睾丸淋巴瘤有一定的诊断价值,但确诊仍需依靠穿刺活检或手术病理。超声对监测治疗后病灶变化有一定意义。

Ultrasonographic characteristics of the testicular lymphoma

Objective To explore the characteristics and diagnostic valuation of testicular lymphoma before and after treatment by ultrasound.Methods The characteristics of consecutive 13 patients who suffered from testicular lymphoma proved by the pathological results of ultrasound-guided biopsy were retrospectively analyzed by ultrasound.Results Most of patients with testicular lymphoma were old male subjects and all the initiative symptom was painless testicular swelling.There were 9 patients observed in one side an...