CAJ | 학술논문

目的探讨成人原发腹部淋巴管瘤(APAL)的超声诊断价值.资料与方法回顾性分析12例 APAL(海绵状淋巴管瘤1例,囊性淋巴管瘤11例)的声像图表现,并与 CT 血管造影(CTA)和 MRI 对照.结果12例 APAL 患者中,4例发生于脾脏,3例起源于肠系膜,5例位于腹膜后.脾内和肠系膜淋巴管瘤中 5例为圆形或浅分叶状,腹膜后 5例占位形态不规则.多发多房者3例,单发多房者 4例,单发单房者 5例.超声显示,囊壁血流 3例,2例显示分隔血流.超声提示淋巴管瘤 2例,误诊为转移瘤及脂肪瘤各 1例,1例肠系膜病变误诊为腹膜后占位.结论成人腹部原发淋巴管瘤的典型表现为多房分隔,超声具有一定的诊断意义.
목적탐토성인원발복부림파관류(APAL)적초성진단개치.자료여방법회고성분석12례 APAL(해면상림파관류1례,낭성림파관류11례)적성상도표현,병여 CT 혈관조영(CTA)화 MRI 대조.결과12례 APAL 환자중,4례발생우비장,3례기원우장계막,5례위우복막후.비내화장계막림파관류중 5례위원형혹천분협상,복막후 5례점위형태불규칙.다발다방자3례,단발다방자 4례,단발단방자 5례.초성현시,낭벽혈류 3례,2례현시분격혈류.초성제시림파관류 2례,오진위전이류급지방류각 1례,1례장계막병변오진위복막후점위.결론성인복부원발림파관류적전형표현위다방분격,초성구유일정적진단의의.
Purpose To investigate the value of ultrasound in diagnosing adult primary abdominal lymphangioma(APAL). Materials and Methods The sonography manifestations of 12 adult patients with abdominal lymphangioma (1 cavernous lymphangioma, 11 cystic lymphangioma) were retrospectively analyzed, and the results were compared with MRI and CTA. Results 4 cases were originated from spleen, while 3 from mesentery, 5 from retroperitoneum. The shape of 5 tumors in the spleen and mesentery was rounded or lobulated, and 5 retroperitoneal mass were irregular. 3 cases were multiple multilocular, 4 cases were solitary multi-locular, 5 cases were solitary unilocular. Ultrasound showed blood flow within the wall in 3 cases, and within the septations in 2 cases. Ultrasonography identified 2 cases as lymphangioma. 2 cases were misdiagnosed as metastatic tumors and lipoma respectively. 1 mesenteric lymphangioma was diagnosed as retroperitoneal tumor. Conclusion Adult primary abdominal lymphangioma is typically shown as multi-loculated with septations. Ultrasound is valuable in the clinical diagnosis.