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目的:探讨CT在胸部淋巴瘤诊断和鉴别诊断中的应用价值。方法:搜集60例经临床和病理证实的胸部淋巴瘤患者的CT资料,探讨各型胸部淋巴瘤的CT表现。结果:按侵犯部位,胸部淋巴瘤可分为4型:肺门纵隔型(27例)、肺型(15例)、胸膜心包型(7例)、混合型(8例)。其侵犯纵隔和肺门主要表现为不对称性肿大的淋巴结并大多融合成块。侵犯肺组织的主要表现为:肺部肿块影、结节空洞影、渗出实变影。侵犯胸膜或心包的主要表现是:胸腔积液或心包积液,较少有明显的胸膜增厚或心包增厚。结论:胸部淋巴瘤具有较明显的CT特点,CT在胸部淋巴瘤诊断及鉴别诊断中具有重要价值。
Objective: To investigate the value of CT in the diagnosis and differential diagnosis of chest lymphoma. Methods: CT data of 60 patients with clinically and pathologically confirmed chest lymphoma were collected to investigate the CT findings of various types of chest lymphoma. Results: Thoracic lymphoma could be divided into 4 types according to the site of invasion: hilar mediastinum type (27 cases), lung type (15 cases), pleural pericardial type (7 cases) and mixed type (8 cases). The invasion of the mediastinum and hilar mainly manifested as asymmetric enlarged lymph nodes and mostly integrated into blocks. The main manifestations of lung tissue infringement: lung mass shadow, nodular cavity shadow, exudation consolidation shadow. The main manifestations of violations of the pleura or pericardium are: pleural effusion or pericardial effusion, less obvious pleural thickening or pericardial thickening. Conclusion: The chest lymphoma has obvious CT features. CT is of great value in the diagnosis and differential diagnosis of chest lymphoma.