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目的:分析胸部淋巴瘤的影像学表现,探讨其组织分型在影像学检查上的差别。方法:搜集34例胸部淋巴瘤的X线和CT资料,对比其病理上的组织分型,回顾性地观察各型的影像学表现。结果:34例病例中32例表现有纵隔、肺门淋巴结增大。12例何杰金氏病(HD)患者均为双侧对称性增大,20例非何杰金氏淋巴瘤(NHL)患者仅1例表现为对称性增大,19例表现为非对称性双侧纵隔、肺门淋巴结增大,另2例NHL表现为单独肺门淋巴结增大。其余肺部、胸膜受累情况则以NHL更为复杂和多元化。结论:影像学综合技术检查对于发现病变有较大帮助,其影像学表现对胸部淋巴瘤的组织分型和临床分期有辅助作用,价值应予以肯定。
Objective: To analyze the imaging findings of thoracic lymphomas and to explore the differences in the imaging findings of its tissue typing. Methods: X-ray and CT data of 34 cases of thoracic lymphoma were collected and compared with the histopathological type. The imaging findings of each type were retrospectively observed. Results: In 34 cases, 32 cases showed mediastinum and hilar lymph nodes increased. Bilateral symmetry was increased in 12 patients with Hodgkin’s disease (HD). Only 1 of 20 patients with non-Hodgkin’s lymphoma (NHL) showed an increase in symmetry and 19 showed asymmetry Bilateral mediastinum, hilar lymph nodes increased, the other two cases of NHL showed an increase of hilar lymph nodes alone. The remaining lung, pleural involvement is more complicated and diversified NHL. Conclusion: The comprehensive imaging examination can help to find out the pathological changes. The radiological findings of the imaging technique are helpful to the histological classification and clinical stage of thoracic lymphoma. The value should be affirmed.