中国临床医学影像杂志2024,Vol.35Issue(2) :109-111,119.DOI:10.12117/jccmi.2024.02.008

原发性睾丸淋巴瘤的超声特征分析

Ultrasonographic analysis of primary testicular lymphoma

顾秀娟 张巍 郑帅
中国临床医学影像杂志2024,Vol.35Issue(2) :109-111,119.DOI:10.12117/jccmi.2024.02.008

原发性睾丸淋巴瘤的超声特征分析

Ultrasonographic analysis of primary testicular lymphoma

顾秀娟 1张巍 1郑帅1
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作者信息

  • 1. 首都医科大学附属北京天坛医院超声科,北京 100070
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摘要

目的:研究分析原发性睾丸淋巴瘤(Primary testicular lymphoma,PTL)的声像图特征.方法:回顾性分析经手术切除,病理证实的16例PTL的灰阶以及彩色多普勒声像图特征.结果:16例PTL,其中弥漫性大B细胞淋巴瘤14例,T细胞淋巴瘤 1例,B淋巴母细胞淋巴瘤 1例.灰阶超声显示弥漫型11例,结节型5例,均为低回声;病灶内部回声均匀4例,内部回声不均匀12例;病灶边界清晰4例,边界不清晰12例.累及附睾3例,累及精索2例,1例伴腹股沟区以及腹膜后淋巴结肿大.彩色多普勒超声显示PTL大部分血流信号丰富,弥漫型均为Ⅲ级,结节型 Ⅰ级(1例),Ⅱ级(2例),Ⅲ级(2例).9例可见直线形血流信号.结论:PTL的声像图具有一定的特征,掌握其特征可提高PTL诊断准确率,为临床提供更多可靠信息.

Abstract

Objective:To analysis the ultrasonographic characteristics of primary testicular lymphoma(PTL).Methods:The gray scale and color Doppler ultrasonographic characteristics of 16 cases of PTL confirmed by surgery and pathology were an-alyzed retrospectively.Results:Sixteen cases of PTL were found,including 14 cases of diffuse large B-cell lymphoma,1 case of T-cell lymphoma,and 1 case of B-lymphoblastic lymphoma.Of the 16 cases examined by gray scale ultrasound,11 cases were diffuse hypoechoic and 5 cases were nodular hypoechoic.The internal echo was uniform in 4 cases and uneven in 12 cases.Four cases had clear boundary,and 12 cases had unclear boundary.The epididymis was involved in 3 cases,and spermatic cord was involved in 2 cases.The inguinal and retroperitoneal lymph node enlargement was shown in 1 case.Color Doppler ultrasound showed rich blood flow signals in diffuse type PTL(grade Ⅲ).In the nodular type,the blood flow signal was grade L in 1 case,grade Ⅱ in 2 cases,and grade Ⅲ in 2 cases.Straight blood vessel signs were showed in 9 of 16.Conclusion:The ultrasonic image of PTL has certain characteristics,and mastering its characteristics can improve the diag-nostic accuracy of PTL and provide more reliable information for clinic.

关键词

睾丸肿瘤/淋巴瘤/超声检查,多普勒,彩色

Key words

Testicular Neoplasms/Lymphoma/Ultrasonography,Doppler,Color

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出版年

2024
中国临床医学影像杂志
中国医学影像技术研究会,中国医科大学

中国临床医学影像杂志

CSTPCDCSCD北大核心
影响因子:1.204
ISSN:1008-1062
参考文献量15
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