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小肠淋巴瘤MSCT影像诊断价值

作者:汪海滔 杨文广 贾济波 陈允东

所属单位:江苏省昆山市第三人民医院放射科(江苏 昆山 215300)

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摘要

目的探讨小肠淋巴瘤MSCT影像 诊断价值。方法 回顾性分析经手术、病 理证实的21例小肠淋巴瘤的多层螺旋CT平 扫和双期增强表现。结果 21例中,发病 部位以回肠末端最常见、占15例,空肠2 例,回肠近端2例,十二指肠2例。CT平扫 表现为肠壁不规则增厚,息肉样肿块形 成,肠腔扩张或狭窄,增强后病灶轻中度 强化,密度较均匀,很少坏死。结论 小 肠淋巴瘤的多层螺旋CT表现有一定特征 性,对鉴别诊断具有应用价值。

Objective To explore the diagnostic value of MSCT imaging in small intestinal lymphoma. Methods Both plain,dual-phase contrast enhanced MSCT were performed for 21 cases of small intestine lymphoma which confirmed by pathology. Results The most common lesion located in terminal ileum(15 cases), and 2 cases located at jejunum, 2cases at proximal ileal and the other 2 cases located at duodenum.CT scan characterized by irregular bowel wall thickening,polypoid tumor formation,expand or narrow lumen. All of the Lesions had mild-to-moderate enhancement after enhanced, and the density is uniform, rarely see signs of necrosis. Conclusion Small intestine lymphoma has certain MSCT features,and CT have application value for differential diagnosis.

【关键词】小肠肿瘤;淋巴瘤;多层螺旋CT

【中图分类号】R735.3+2 R814.42

【文献标识码】A

【DOI】10.3969/j.issn.1672-5131.2015.11.028

前言

小肠淋巴瘤为起源于小肠壁粘膜下层淋巴组织的恶性肿瘤,是小 肠中最常见的恶性肿瘤,占10%~25%,且近年来有上升趋势,传统的X 线钡餐造影对本病的诊断存在许多不足之处,随着多层螺旋CT(MSCT) 在国内的普及与应用,小肠恶性肿瘤被更多地诊断,笔者收集2010年 至2014年我院及上海中山医院经病理证实的小肠淋巴瘤病例21例,结 合文献,探讨小肠淋巴瘤的MSCT表现,并提出鉴别诊断要点。现报告 如下。