CAJ | 학술논문

目的：探讨肺黏膜相关淋巴组织(MALT)淋巴瘤的影像表现，以进一步提高对本病的认识。方法对19例经手术、穿刺活检病理证实的肺黏膜相关淋巴瘤的 X线、CT影像资料进行回顾性分析。结果19例患者中，单发结节病灶4例，单发实变影2例，多发实变影5例，斑片状影2例，斑片影合并实变4例，多发斑片影伴不规则空洞1例，弥漫性间质性改变1例。结节状病灶、实变病灶及斑片状病灶内有较粗大的支气管充气征11例，病灶周边不规则15例，伴毛刺样征象3例，胸膜凹陷2例，胸腔积液3例。结论肺 MALT淋巴瘤在 X线、CT上表现为单发结节影、斑片状影及实变影，亦可有空洞及弥漫性间质性改变，病灶内常伴有粗大的支气管充气征，病灶周边不规则，伴毛刺及胸膜凹陷改变，上述影像表现要考虑 MALT淋巴瘤的诊断。
목적：탐토폐점막상관림파조직(MALT)림파류적영상표현，이진일보제고대본병적인식。방법대19례경수술、천자활검병리증실적폐점막상관림파류적 X선、CT영상자료진행회고성분석。결과19례환자중，단발결절병조4례，단발실변영2례，다발실변영5례，반편상영2례，반편영합병실변4례，다발반편영반불규칙공동1례，미만성간질성개변1례。결절상병조、실변병조급반편상병조내유교조대적지기관충기정11례，병조주변불규칙15례，반모자양정상3례，흉막요함2례，흉강적액3례。결론폐 MALT림파류재 X선、CT상표현위단발결절영、반편상영급실변영，역가유공동급미만성간질성개변，병조내상반유조대적지기관충기정，병조주변불규칙，반모자급흉막요함개변，상술영상표현요고필 MALT림파류적진단。
Objective To investigate the imaging characteristics of pulmonary mucosa-associated lymphoid tissue(MALT)lym-phoma,in order to improve the diagnosis of this disease.Methods X-ray and CT features of 1 9 cases of pulmonary MALT lympho-ma confirmed by operation or biopsy were retrospectively analyzed.Results Among 1 9 cases,there were 4 cases with a single nod-ule,2 cases with a single consolidation,5 cases with multiple consolidations,2 cases with a single patchy shadow,4 cases with patchy consolidations,1 case with multiple patchy shadows combined with irregular cavities,and 1 case with diffused interstitial changes.Grossus air bronchogram was found in 1 1 cases with nodules,consolidations and patchs.Irregular margin was found in 1 5 cases.Spiculation was found in 3 cases.Pleural retraction was found in 2 cases.Pleural effusion was found in 3 cases.Conclusion Pulmonary MALT lymphoma can be showed as solitary nodule,patchy shadow,consolidation,cavity and diffused interstitial change.Pulmonary MALT lymphoma should be considered if such lesions combined with grossus air bronchogram,irregular mar-gin,spiculation or plural retraction..