中华医学超声杂志（电子版）
中華醫學超聲雜誌（電子版）
중화의학초성잡지（전자판）
CHINESE JOURNAL OF MEDICAL ULTRASOUND(ELECTRONICAL VISION)
2013年
10期
54-57
,共4页
超声检查%子宫%淋巴瘤
超聲檢查%子宮%淋巴瘤
초성검사%자궁%림파류
Ultrasonography%Uterus%Lymphoma
目的总结原发性子宫淋巴瘤临床、超声及病理特征。方法对9例2002年9月至2012年9月山西医科大学附属山西省肿瘤医院收治并经手术病理确诊为原发性子宫淋巴瘤患者的临床、超声及病理特征进行总结分析。结果9例原发性子宫淋巴瘤临床及超声表现：（1）子宫体淋巴瘤3例，其中2例以无痛性盆腔肿块就诊，1例以子宫肌瘤近期明显增大就诊；超声显示3例子宫体均弥漫性增大，子宫内膜完整，肿瘤边界清晰，后方回声均增强。（2）宫颈淋巴瘤6例，患者均以接触性出血就诊，其中4例有阴道不规则出血；超声显示4例肿瘤内为极低均匀性回声，且肿瘤边界清晰，呈分叶状；1例边界不清晰。（3）彩色多普勒血流成像示：9例中8例肿瘤病灶内血流信号增多。9例子宫切除术后病理均诊断为子宫（宫颈）原发性弥漫大B细胞非霍奇金淋巴瘤。结论阴道不规则出血或接触性出血，超声显示子宫体弥漫均匀性增大，而子宫或宫颈内膜较完整，病灶边界清晰，内为均匀性极低回声，后方回声增强者为子宫（宫颈）淋巴瘤的临床超声特征，最终仍需由病理检查确诊。
目的總結原髮性子宮淋巴瘤臨床、超聲及病理特徵。方法對9例2002年9月至2012年9月山西醫科大學附屬山西省腫瘤醫院收治併經手術病理確診為原髮性子宮淋巴瘤患者的臨床、超聲及病理特徵進行總結分析。結果9例原髮性子宮淋巴瘤臨床及超聲錶現：（1）子宮體淋巴瘤3例，其中2例以無痛性盆腔腫塊就診，1例以子宮肌瘤近期明顯增大就診；超聲顯示3例子宮體均瀰漫性增大，子宮內膜完整，腫瘤邊界清晰，後方迴聲均增彊。（2）宮頸淋巴瘤6例，患者均以接觸性齣血就診，其中4例有陰道不規則齣血；超聲顯示4例腫瘤內為極低均勻性迴聲，且腫瘤邊界清晰，呈分葉狀；1例邊界不清晰。（3）綵色多普勒血流成像示：9例中8例腫瘤病竈內血流信號增多。9例子宮切除術後病理均診斷為子宮（宮頸）原髮性瀰漫大B細胞非霍奇金淋巴瘤。結論陰道不規則齣血或接觸性齣血，超聲顯示子宮體瀰漫均勻性增大，而子宮或宮頸內膜較完整，病竈邊界清晰，內為均勻性極低迴聲，後方迴聲增彊者為子宮（宮頸）淋巴瘤的臨床超聲特徵，最終仍需由病理檢查確診。
목적총결원발성자궁림파류림상、초성급병리특정。방법대9례2002년9월지2012년9월산서의과대학부속산서성종류의원수치병경수술병리학진위원발성자궁림파류환자적림상、초성급병리특정진행총결분석。결과9례원발성자궁림파류림상급초성표현：（1）자궁체림파류3례，기중2례이무통성분강종괴취진，1례이자궁기류근기명현증대취진；초성현시3례자궁체균미만성증대，자궁내막완정，종류변계청석，후방회성균증강。（2）궁경림파류6례，환자균이접촉성출혈취진，기중4례유음도불규칙출혈；초성현시4례종류내위겁저균균성회성，차종류변계청석，정분협상；1례변계불청석。（3）채색다보륵혈류성상시：9례중8례종류병조내혈류신호증다。9례자궁절제술후병리균진단위자궁（궁경）원발성미만대B세포비곽기금림파류。결론음도불규칙출혈혹접촉성출혈，초성현시자궁체미만균균성증대，이자궁혹궁경내막교완정，병조변계청석，내위균균성겁저회성，후방회성증강자위자궁（궁경）림파류적림상초성특정，최종잉수유병리검사학진。
Objective To explore the ultrasonographic, clinical and histopathological characteristics features of primary uterus lymphoma. Methods The clinical, sonographic and histopathological characteristics of nine patients who were pathologically comfirmed as primary uterus lymphoma were analyzed. Results Among the nine cases of primary uterus lymphoma, three lesions were found in the uterine bodys and 6 were found in the cervixes. Two patients with uterine body lymphoma had painless pelvic masses and six patients with cervix lymphoma had contact bleeding, including irregular vaginal bleeding in four patients. In sonograms, six lesions showed remarkable hypoechogenicity with homogeneous internal echogenicity;the margins of most lesions were circumcribed;all lesions had posterior enhancement. In color Doppler lfow imaging, abundant vascularities were detected in eight lesions. In the cases of uterine body lymphoma, all of the uterine bodys showed diffuse symmetrical enlargement without disruption of the endometria, while in ifve cases of cervix lymphoma, the tumors showed the shape of lobule. The pathological examination showed that all tumors were diffuse B-cell type non-Hodgkin lymphoma. Conclusions Primary uterus lymphoma has some clinical and ultrasonic features, including contact bleeding or irrgular vaginal bleeding, diffuse symmetrical enlargement of uterine body, complete endometria, remarkable hypoechogenicity, homogeneous echogenicity and posterior enhancement. Final diagnosis depends on the histopathology.
