Iida M, Suekane H, Tada S, Iwashita A, Fuchigami T, Okada M, Yao T, Fujishima M
Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Clin Radiol. 1991 Nov;44(5):322-6. doi: 10.1016/s0009-9260(05)81267-x.
Eighteen patients with 20 primary lesions of small intestinal lymphoma of the 'Western' type were examined to determine the double-contrast radiographic features of the disease with pathological correlation. The radiographic appearances on double-contrast study were divided into five groups: polypoid (3 lesions), stricturing (6), non-stricturing (3), aneurysmal (3), and intussusception (5). In the first four groups, ulceration, signs of submucosal tumour, and displacement of adjacent loops were frequent. Two early lesions confined to the submucosal layer were also seen. There was a close association between the radiographic appearance and macroscopic findings of the resected specimens, including the cross section of the tumour, but no correlation with the cell type. These results indicate that the double-contrast study accurately reflects the morphological changes of primary small intestinal lymphoma.
对18例患有20处“西方”型原发性小肠淋巴瘤病变的患者进行了检查，以确定该疾病的双对比放射学特征及其与病理的相关性。双对比研究中的放射学表现分为五组：息肉样（3处病变）、狭窄型（6处）、非狭窄型（3处）、动脉瘤样（3处）和套叠型（5处）。在前四组中，溃疡、黏膜下肿瘤征象及相邻肠袢移位较为常见。还发现了2处局限于黏膜下层的早期病变。切除标本的放射学表现与宏观所见，包括肿瘤横断面，密切相关，但与细胞类型无关。这些结果表明，双对比研究能准确反映原发性小肠淋巴瘤的形态学变化。
