CAJ | 학술논문

目的：本文旨在初步探讨肝脏原发性淋巴瘤的三期螺旋CT增强扫描表现及临床特点。方法回顾性分析经手术或活检后病理证实的14例肝原发性淋巴瘤的CT表现，男10例，女4例，患者中位年龄55岁；术前均行肝脏三期螺旋CT增强扫描，分析患者临床资料特征。结果单发病灶11例，多发病灶（2个）3例；术前均误诊，12例有HBV指标阳性；LDH不同程度增高，与患者恶性度相关。8例行手术切除，另6例行活检。病理证实为非霍奇金淋巴瘤12例，霍奇金淋巴瘤2例。14例肿瘤术前均行CT三期扫描，平扫为低密度，动脉期无明显强化，延迟轻度强化的乏血供肿瘤，出现血管漂浮征3例，出现条状坏死4例。结论肝脏原发性淋巴瘤临床上容易误诊，螺旋CT增强三期表现具有一定特征性，结合临床相关检查可提示诊断。
목적：본문지재초보탐토간장원발성림파류적삼기라선CT증강소묘표현급림상특점。방법회고성분석경수술혹활검후병리증실적14례간원발성림파류적CT표현，남10례，녀4례，환자중위년령55세；술전균행간장삼기라선CT증강소묘，분석환자림상자료특정。결과단발병조11례，다발병조（2개）3례；술전균오진，12례유HBV지표양성；LDH불동정도증고，여환자악성도상관。8례행수술절제，령6례행활검。병리증실위비곽기금림파류12례，곽기금림파류2례。14례종류술전균행CT삼기소묘，평소위저밀도，동맥기무명현강화，연지경도강화적핍혈공종류，출현혈관표부정3례，출현조상배사4례。결론간장원발성림파류림상상용역오진，라선CT증강삼기표현구유일정특정성，결합림상상관검사가제시진단。
Objective To investigate the clinical features and CT characteristics of primary hepatic lymphoma. Methods CT data and clinical features of 14 patients (10 male, 4 female, with medium age of 55 years) with surgery or biopsy proved of primary hepatic lymphoma were retrospectively analyzed..Results There was single lesion in 11 cases and multi-foci in 3 cases..HBV antigen was positive in 11 patents and HCV antigen was positive in 1 patent..The LDH level increased and related to the pathological grade of PHL..All the 14 patents were misdiagnosed preoperatively..8 patients received resection,.and 6 received biopsy..Unenhanced CT showed hypoattenuating lesions,.and enhanced CT showed mild enhancement..Vessel floating sign was appeared in 3 cases..And striped necrosis was showed in 4 cases..Conclusion Early diagnose primary hepatic lymphoma is difficult,.and the CT manifestation of liver primary lymphoma has characteristics,.which is useful for the disease diagnosing combined with clinical information.