| 孔迅,陈路增,刘毅,张秀梅,李葚煦.肾脏淋巴瘤临床病理及超声表现[J].中国医学影像技术,2021,37(3):434~437 |
| 肾脏淋巴瘤临床病理及超声表现 |
| Clinical-pathological and ultrasonographic manifestations of renal lymphoma |
| 投稿时间：2020-08-03 修订日期：2021-03-11 |
| DOI：10.13929/j.issn.1003-3289.2021.03.028 |
| 中文关键词: 肾肿瘤 淋巴瘤 超声检查 病理学 |
| 英文关键词:kidney neoplasms lymphoma ultrasonography pathology |
| 基金项目: |
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| 中文摘要: |
| 目的 观察肾脏淋巴瘤（RL）临床病理学及超声表现。方法 回顾性分析31例经病理证实RL的临床、病理学及超声表现。结果 31例RL中，2例为原发性、29例为继发性，临床主要症状为腰痛（22/31）。RL病理类型均为非霍奇金淋巴瘤，其中25例为弥漫大B细胞淋巴瘤。RL超声表现包括肾内肿物型（13例）、肾弥漫浸润型（5例）、肾盂型（2例）、肾周型（2例）及腹膜后浸润型（9例），均呈低回声或极低回声；9例腹膜后浸润型RL中，7例可见"血管漂浮征"。结论 RL超声表现多样；超声发现肾内较大占位病灶呈均匀低回声或极低回声、伴肾外病灶或腹膜后淋巴结肿大或出现"血管漂浮征"时，应考虑淋巴瘤可能。 |
| 英文摘要: |
| Objective To observe the clinical, pathological and ultrasonographic manifestations of renal lymphoma (RL). Methods The clinical, pathological and ultrasonographic manifestations of 31 RL patients confirmed by pathology were retrospectively analyzed. Results Among 31 patients, 2 cases were primary RL and 29 were secondary RL. Low back pain was the main clinical symptom (22/31). Non-Hodgkin lymphoma was proved in all 31 cases, including 25 cases of diffuse large B-cell lymphomas. The ultrasonographic manifestations of RL were divided into intrarenal mass type (13 cases), renal diffuse infiltrative type (5 cases), renal pelvis type (2 cases), perirenal type (2 cases) and retroperitoneal extension type (9 cases). All lesions were hypoechoic or marked hypoechoic, while "vessel floating sign" was detected in 7 cases among 9 cases of retroperitoneal extension type RL. Conclusion Ultrasonographic manifestations of RL were various. When large renal masses were found homogeneous hypoechoic or marked hypoechoic with extrarenal lesions, enlarged retroperitoneal lymph nodes or the appearance of "vessel floating sign", RL should be considered. |
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