原创《原发性肺非霍奇金淋巴瘤的HRCT影像学表现》：这篇霍奇金淋巴瘤论文范文为免费优秀学术论文范文,可用于相关写作参考。
【摘 要】 目的 观察原发性肺非霍奇金淋巴瘤（PPNHL）的高分辨率电子计算机断层扫描（HRCT）影像学特点, 并结合病理、临床表现进行讨论, 以此提高其诊断准确率. 方法 回顾性分析12例原发性肺非霍奇金淋巴瘤患者的HRCT影像学特征等, 并与病理组织对照, 观察结果.结果 病理结果显示, 10例为低度恶性黏膜相关淋巴組织淋巴瘤, 1例为低度恶性小淋巴细胞淋巴瘤, 1例为高度恶性间变性大细胞淋巴瘤.HRCT检查显示, 5例患者为结节、肿块影, 2例为单发, 3例为多发；增强扫描检查,3例病灶内部显示血管造影征.6例患者HRCT表现为斑片状实变影, 2例为单发, 4例为多发；增强扫描检查5例病灶内部显示血管造影征.1例患者HRCT显示为双肺间质性改变.此处, 有3例患者胸腔积液.结论 原发性肺非霍奇金淋巴瘤好发于中老年患者, HRCT特征性影像学表现有充气支气管征, 增强检查显示血管造影征.最终确诊需依赖病理组织学诊断.
【关键词】 原发性肺非霍奇金淋巴瘤；高分辨率电子计算机断层扫描；影像学
DOI：10.14163/j.cnki.11-5547/r.2018.11.012
【Abstract】 Objective To observe the imaging features of high resolution computed tomography （HRCT） of primary pulmonary non-Hodgkin’s lymphoma （PPNHL）, and to discuss the pathological and clinical manifestations to improve the diagnostic accuracy. Methods The HRCT imaging features of 12 patients with primary lung non-Hodgkin’s lymphoma were analyzed retrospectively, and the results were compared with the pathological tissue. Results Pathological results showed that there were 10 cases of low-grade mucosal-associated lymphoid tissue lymphoma, 1 case of low-grade malignant lymphocytic lymphoma, and 1 case of high-grade anaplastic large cell lymphoma. HRCT examination showed that there were 5 cases of nodules and lumps, with 2 single cases and 3 multiple cases. Enhanced scans showed angiographic signs inside 3 lesions. In 6 patients, HRCT showed patchy consolidation, with 2 single cases and 4 cases multiple cases. Enhanced scans showed angiographic signs inside the lesions in 5 cases. HRCT showed 1 case of interstitial lung interstitial changes and 3 cases of pleural effusion. Conclusion Primary pulmonary non-Hodgkin’s lymphoma occurs predominantly in middle-aged and elderly patients, with inflated bronchial signs in HRCT feature imaging findings and angiographic signs after enhanced examination. The final diagnosis depends on the histopathological diagnosis.
【Key words】 Primary lung non-Hodgkin’s lymphoma； High resolution computer tomography； Imaging
淋巴瘤是起源于淋巴结和其他淋巴组织的恶性肿瘤, 目前将淋巴瘤分两大类：霍奇金淋巴瘤和非霍奇金淋巴瘤.原发性肺非霍奇金淋巴瘤（primary pulmonary non-Hodgkin’s lymphoma, PPNHL）是来源于支气管黏膜相关的淋巴组织, 发病率低, 占全部淋巴瘤的0.4%, 占结外淋巴瘤的3.6%[1].原发性肺非霍奇金淋巴瘤临床表现缺乏明显特异性, 治疗及预后尚不明确.本文回顾性分析12例原发性肺非霍奇金淋巴瘤的HRCT表现, 并与病理组织学结果对照观察, 加深其HRCT影像表现的认识, 提高诊断能力.
1 资料与方法
1. 1 一般资料 选取本院2008年3月～2017年10月有完整影像学资料病理免疫组织化学及临床随访证实的12例原发性肺非霍奇金淋巴瘤患者.临床诊断以Cordier等[2]的诊断标准为依据： ①明确的病理组织学诊断；②既往没有淋巴瘤病史；③肺和支气管受累, 未发现纵隔和肺门淋巴结增大； ④确诊后3个月内未出现其他组织或器官淋巴瘤.患者中, 男7例, 女5例；年龄49～70岁, 平均年龄65.5岁；临床表现分为咳嗽10例、胸痛5例、胸闷4例、痰中带血2例；伴有发热4例、体重下降3例.
霍奇金淋巴瘤论文参考资料：
结论：原发性肺非霍奇金淋巴瘤的HRCT影像学表现为关于对不知道怎么写霍奇金淋巴瘤论文范文课题研究的大学硕士、相关本科毕业论文霍奇金淋巴瘤论文开题报告范文和文献综述及职称论文的作为参考文献资料下载。
