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目的探讨CT和MRI对睾丸原发性淋巴瘤诊断的影像学特征。方法对6例经手术病理证实的睾丸肿物的MRI和CT影像学表现进行回顾分析。结果 3例淋巴瘤CT征象为阴囊内边缘清楚、密度均匀的实性肿物,平扫呈等低密度,增强扫描呈中度至明显强化;2例精原细胞瘤平扫密度欠均匀,伴有囊变及睾丸鞘膜积液,增强扫描轻度强化。根据CT和MRI影像特征,结合年龄、病史均可于手术前报告中给予有意义的提示,其中5例报告提示与病理结果符合。结论睾丸淋巴瘤的征象具有相对的特征性,密切结合临床综合分析,对于本病的诊断有重要的价值。
Objective To investigate the imaging characteristics of the diagnosis of testicular primary lymphoma by CT and MRI. Methods The MRI and CT findings of 6 cases of pathologically confirmed testicular masses were retrospectively analyzed. Results CT findings of lymphoma in 3 cases were solid tumors with clear and uniform density in the edge of the scrotal cavity. The density of the CT scan was lower than that of the normal scrotal. The CT scan showed moderate to significant enhancement. The density of 2 malignant seboli tumors was even, Cystic change and testicular hydrocele, enhanced scan mild enhancement. According to the features of CT and MRI images, combined with age and medical history, we can give meaningful tips in preoperative report, of which 5 cases report the results in line with the pathological findings. Conclusion The signs of testicular lymphoma have relative characteristics, combined with clinical comprehensive analysis, has important value for the diagnosis of this disease.