CAJ | 학술논문

目的探讨原发女性生殖系统淋巴瘤的超声表现和病理特征.方法回顾性分析经手术及病理证实的14例原发女性生殖系统淋巴瘤患者的超声与病理特征.结果 14例患者行超声检查,共检出15个病灶,病灶位于卵巢6个,宫颈6个,子宫体3个.10个病灶表现为极低回声,10个病灶内部回声均匀,所有病灶后方回声均增强,13个病灶边界清晰,5个卵巢病灶呈椭圆形,5个宫颈病灶呈分叶状,所有子宫体病灶宫体呈弥漫性增大,子宫内膜完整,13个病灶血流信号较丰富.14例患者病理结果均为弥漫大B细胞非霍奇金淋巴瘤.结论原发女性生殖系统淋巴瘤超声检查中,极低均匀性回声、后方回声增强为其主要特征,最终确诊需结合临床及病理.
목적 탐토원발녀성생식계통림파류적초성표현화병리특정.방법 회고성분석경수술급병리증실적14례원발녀성생식계통림파류환자적초성여병리특정.결과 14례환자행초성검사,공검출15개병조,병조위우란소6개,궁경6개,자궁체3개.10개병조표현위겁저회성,10개병조내부회성균균,소유병조후방회성균증강,13개병조변계청석,5개란소병조정타원형,5개궁경병조정분협상,소유자궁체병조궁체정미만성증대,자궁내막완정,13개병조혈류신호교봉부.14례환자병리결과균위미만대B세포비곽기금림파류.결론 원발녀성생식계통림파류초성검사중,겁저균균성회성、후방회성증강위기주요특정,최종학진수결합림상급병리.
Objective To observe the ultrasonographic features of primary female genital system lymphoma and its histopathological characteristics.Methods Sonographic appearances and histopathological characteristics of 14 patients who were pathologically comfirmed as primary female genital system lymphoma were reviewed.Results Fourteen patients underwent ultrasonography and 15 lesions were found,6 cases of which were found in the ovary and cervix separately,3 cases in the uterine body.Among the lesions detected,10 of which respectively represents extremely low echo and homogeneous internal echo,all lymphomas had posterior enhancement.The margins were most frequently circumcribed (13/15),5numbers primary lymphomas of the ovary were mostly elliptical in shape,while 5 numbers of cervix tumors showed the shape of lobular,all of the tumors in the uterine body showed diffuse symmetrical enlargement without disruption of the endometria.Color Doppler imaging showed hypervascularity in most tumors(13/15).The pathological examination showed that all tumors were non-Hodgkin lymphoma diffuse B-cell type.Conclusions Primary female genital system lymphoma has some ultrasonic features,including extremely low echo,homogeneous echo and posterior enhancement.Final diagnosis depends on the histopathology.