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结肠外周T细胞淋巴瘤:6例患者的双重对比钡灌肠检查结果

Peripheral T-cell lymphoma of the colon: double-contrast barium enema examination findings in six patients.

作者信息

Lee H J, Han J K, Kim T K, Kim Y H, Kim K W, Choi B I

机构信息

Department of Radiology and the Institute of Radiation Medicine, Seoul National University College of Medicine, 28 Yongon-dong, Chongno-gu, Seoul 110-744, Korea.

出版信息

Radiology. 2001 Mar;218(3):751-6. doi: 10.1148/radiology.218.3.r01mr23751.

Abstract

PURPOSE

To evaluate radiologic findings of peripheral T-cell lymphoma (PTCL) of the colon at double-contrast barium enema examination.

MATERIALS AND METHODS

Double-contrast barium enema findings in six patients with pathologically proved PTCL of the colon were retrospectively evaluated and compared with colonoscopic and histopathologic findings.

RESULTS

There was a diffuse involvement of almost all segments of the colon in four patients and a focal segmental involvement in two. Frequent findings at double-contrast barium enema examination included geographic ulcerations (n = 6), aphthous ulcerations (n = 4), pseudopolyps (n = 4), circumferential luminal narrowing (n = 4), and ileocecal deformity (n = 4).

CONCLUSION

PTCL of the colon manifested as either a diffuse or a focal segmental lesion and showed extensive mucosal ulceration at double-contrast barium enema examination. These findings are similar to those of inflammatory bowel disease and are different from those of colorectal lymphoma with the B-cell phenotype.

摘要

目的

评估结肠外周T细胞淋巴瘤(PTCL)在双重对比钡灌肠检查中的影像学表现。

材料与方法

回顾性评估6例经病理证实的结肠PTCL患者的双重对比钡灌肠检查结果,并与结肠镜及组织病理学检查结果进行比较。

结果

4例患者结肠几乎所有节段均有弥漫性受累,2例为局灶性节段性受累。双重对比钡灌肠检查常见表现包括地图状溃疡(n = 6)、阿弗他溃疡(n = 4)、假息肉(n = 4)、环形管腔狭窄(n = 4)和回盲部畸形(n = 4)。

结论

结肠PTCL在双重对比钡灌肠检查中表现为弥漫性或局灶性节段性病变,并显示广泛的黏膜溃疡。这些表现与炎症性肠病相似,与B细胞表型的结直肠淋巴瘤不同。

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