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多层螺旋CT对原发性肾上腺淋巴瘤的诊断价值(附4例报告并文献复习)
引用本文:曹代荣,吴小丽,刘颖,邢振.多层螺旋CT对原发性肾上腺淋巴瘤的诊断价值(附4例报告并文献复习)[J].临床放射学杂志,2012,31(5):743-746.
作者姓名:曹代荣  吴小丽  刘颖  邢振
作者单位:曹代荣 (350005,福建医科大学第一临床医学院、福建医科大学附属第一医院影像科) ; 吴小丽 (350005,福建医科大学第一临床医学院、福建医科大学附属第一医院影像科) ; 刘颖 (350005,福建医科大学第一临床医学院、福建医科大学附属第一医院影像科) ; 邢振 (350005,福建医科大学第一临床医学院、福建医科大学附属第一医院影像科) ;
摘    要:目的探讨原发性肾上腺淋巴瘤的CT表现。资料与方法回顾性分析4例确诊为原发性肾上腺淋巴瘤患者的CT影像学资料。结果 4例中双侧病灶3例,单侧病灶1例,共计7侧病灶;瘤体较大,长径5.6~7.8cm,平均6.3 cm;边界清晰6侧,边界不清1侧;肾上腺明显增粗伴局部肿块4侧,肾上腺轮廓消失、呈不规则形3侧;CT平扫密度均匀6侧,密度不均匀1侧;行双期增强扫描,均匀强化5侧,不均匀强化2侧,其中1侧病灶内见不规则无强化区。结论原发性肾上腺淋巴瘤的CT表现具有一定特征性,据此可提示诊断。

关 键 词:原发性  肾上腺淋巴瘤  体层摄影术  X线计算机

The Diagnostic Value of Multislice CT in Primary Adrenal Lymphoma:A Report of 4 Cases and Literature Review
Institution:CAO Dairong,WU Xiaoli,LIU Ying,et al. Department of Imaging,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province 350005,P.R.China
Abstract:Objective To explore multislice CT findings of primary adrenal lymphoma.Materials and MethodsThe multislice CT imaging data of 4 cases with primary adrenal lymphoma proved by pathology were analyzed retrospectively.ResultsThere were 7 lesions,including 3 bilateral lesions and 1 unilateral lesion,maximum diameter of lesion was 5.6 cm~7.8 cm,with a mean diameter of 6.3 cm.6 lesions had clear margin and the other was poorly circumscribed.adrenal limb was thickened in 4 lesions and irregular masses were seen in 3 lesions.6 lesions were presented as homogeneous density on plain CT and homogeneous enhancement in 5 lesions.In 2 lesions with heterogeneous enhancement,1 lesion contained necrosis or cystic part without enhancement.ConclusionPrimary adrenal lymphoma has some CT features,which are useful for diagnosis.
Keywords:Primary Adrenal lymphoma Tomgraphy  X-ray computed
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