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目的研究胸内淋巴瘤的影像表现及诊断价值,提高淋巴瘤胸部病变的认识。方法对22例胸内淋巴瘤进行回顾性分析。结果 22例均行X线胸片或CT检查证实为肺内或肺门占位性病变及纵隔淋巴结肿大,肺内浸润,胸腔及心包积液,并均经病理证实。全部病变中20例表现为气管旁和肺门淋巴结肿大,纵隔增宽,7例伴有肺内单发或多发肺结节、肿块,5例表现为小叶性节段性或大叶性浸润,2例为双肺多发粟粒结节。5例病例合并胸腔内积液,最后经病理证实为何杰金氏病(HD)6例,非何杰金氏淋巴瘤(NHL)14例。结论淋巴瘤影像表现多样,临床症状不典型,此病的确诊最终依靠病理诊断。
Objective To study the imaging manifestations and diagnostic value of thoracic lymphoma and to improve the understanding of thoracic lesions of lymphoma. Methods Twenty - two cases of thoracic lymphoma were retrospectively analyzed. Results All the 22 cases were confirmed by X-ray or CT examination as pulmonary or hilar occupational lesions and mediastinal lymph nodes, infiltration of the lung, pleural effusion and pericardial effusion, and confirmed by pathology. In all the lesions, 20 cases manifested as paravertebral and hilar lymphadenopathy with widened mediastinum. Seven cases had single or multiple pulmonary nodules and lumps in lung, and 5 cases showed lobar segmental or lobar infiltration , Two cases of multiple lung miliary nodules. Five cases were complicated with intrathoracic fluid, and finally pathologically confirmed 6 cases of jejuni disease (HD) and 14 cases of non-Hodgkin’s lymphoma (NHL). Conclusion The lymphoma images are diverse and the clinical symptoms are not typical. The diagnosis of lymphoma finally depends on the pathological diagnosis.