Riera-Knorrenschild J, Görg C, Dennhardt N, Restrepo I, Neubauer A
Medizinische Universitätsklinik, Marburg.
Ultraschall Med. 2000 Feb;21(1):3-7. doi: 10.1055/s-2000-8642.
The aim of our study was to describe clinical data, frequency of the findings, sonographic patterns, confirmation of diagnosis, and differential diagnosis of focal echorich splenic lymphoma involvement.
During the last 20 years a focal splenic lesion was found in 178 patients with malignant lymphoma. Echorich splenic lesions were seen in 11 out of 178 cases (6.2%).
Splenic size, echomorphology of lesions, size and number of lesions, and presentation during sonographic follow-up examination were presented.
Echorich infiltrates of the spleen were predominantly seen in patients with low grade Non-Hodgkin-Lymphoma (9 out of 11), the size of lesions mostly was less than 3 cm in diameter (9 out of 11), the underlying splenic size was over 8 x 20 cm in 9 out of 11 patients. Diagnosis was confirmed by sonographic follow-up (n = 11) and autopsy (n = 1).
Echorich splenic lymphoma involvement is a rare event and is characterised by a variable presentation during follow-up. Up to date the clinic significance of our observation is still unclear.
我们研究的目的是描述局灶性脾淋巴瘤累及的临床数据、发现频率、超声图像模式、诊断确认及鉴别诊断。
在过去20年中，178例恶性淋巴瘤患者发现有局灶性脾病变。178例中有11例（6.2%）出现脾回声增强性病变。
呈现脾脏大小、病变的回声形态、病变大小及数量，以及超声随访检查中的表现。
脾回声增强性浸润主要见于低度非霍奇金淋巴瘤患者（11例中的9例），病变大小大多直径小于3厘米（11例中的9例），11例中有9例患者的脾脏大小超过8×20厘米。通过超声随访（n = 11）和尸检（n = 1）确诊。
脾回声增强性淋巴瘤累及是一种罕见情况，其特征是随访期间表现多样。目前我们观察结果的临床意义仍不明确。
