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目的:分析浅表器官结外淋巴瘤超声声像图特点,评价超声检查在诊断浅表器官结外淋巴瘤中的价值。方法:回顾性分析我院经手术或粗针穿刺活检病理证实的24例浅表器官结外淋巴瘤患者的超声声像图。结果:24例浅表器官结外淋巴瘤患者中,腮腺受累3例,甲状腺受累7例,乳房受累7例(其中1例双侧受累),睾丸受累6例(其中1例双侧受累),阴茎受累1例。24例浅表器官结外淋巴瘤患者共28个病灶,分别为腮腺3个,甲状腺7个,乳腺8个,睾丸7个,阴茎3个。超声声像图表现为局灶型19个,弥漫型9个。灰阶超声表现为低回声、极低回声或类囊性回声,22个病灶(78.6%)表现为后方回声增强。23个病灶(82.1%)彩色多普勒血流成像显示血供较丰富。9个病灶(32.1%)伴有周围淋巴结肿大,呈趋圆形的极低回声。结论:浅表器官结外淋巴瘤的超声表现有一定特征性,超声检查是浅表器官结外淋巴瘤筛查、诊断及随访的有效手段。
Objective: To analyze the ultrasonographic features of superficial lymph nodes in superficial organs and evaluate the value of ultrasonography in the diagnosis of superficial lymph nodes in superficial organs. Methods: The echocardiography of 24 cases of superficial lymph nodes in superficial organs proved by operation or needle biopsy in our hospital was analyzed retrospectively. Results: Of the 24 cases of superficial lymph nodes with superficial organs, 3 cases had parotid involvement, 7 cases had thyroid involvement, 7 cases had breast involvement (1 case bilateral involvement), 6 cases testicular involvement (1 case bilateral involvement) 1 case of penile involvement. Twenty - four cases of superficial lymph nodes from superficial organs were involved in the study. There were 28 parotid lesions, including 3 parotid glands, 7 thyroid glands, 8 mammary glands, 7 testicles and 3 penis. Echocardiography showed focal type 19, diffuse type 9. Gray scale ultrasound showed hypoechoic, hypoechogenic or cystic echo, 22 lesions (78.6%) showed enhanced posterior echo. 23 lesions (82.1%) color Doppler flow imaging showed more abundant blood supply. Nine lesions (32.1%) accompanied by enlarged lymph nodes around the lymph nodes showed a very low echo. Conclusion: Ultrasonographic features of superficial organ extranodal lymphoma have certain characteristics. Ultrasonography is an effective method to screen, diagnose and follow up superficial lymph nodes of superficial organ.