Head and Neck Imaging

CT Diagnosis and Misdiagnosis Analysis of Anterior Mediastinal Lymphoma

Author:WANG Chao-wen, PAN Hai-feng, WU Chi,et al.

affiliation:Department of Radiology, GD Nongken Centro Hospital, Zhanjiang 524002, Guangdong Province, China

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Abstract

Objective To investigate CT features of anterior mediastinal lymphoma and improve its diagnostic accuracy. Methods The date of 12 patients with pathologically proved anterior mediastinal lymphoma were analyzed. All the patients underwent CT plain and enhanced scan. Results Of the total 12 cases, there were 2 located at the right anterior, 2 at the left anterior, 8 at the left and right anterior.All cases were lobulated or irregular-shaped, they showed necrosis or cystic change, without calcification, 9 cases were multiple nodules fusion, 7 cases had some swelling lymph nodes around the tumor,8 cases embed or invaded neighborhood blood vessel and pericardium. On enhanced scan, 10 cases showed slightly enhancement. Conclusion Anterior mediastinal lymphoma has some CT characteristics, and it can be identification with other anterior mediastinal tumorswhile analyzing carefully.

【Keyword】Anterior Mediastinal Lymphoma; X-ray Computed; Misdiagnosis

【Chart number】R733.4

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2017.07.019