Aspelin P, Adielsson G, Dimitrov N, Nyman U, Waldenström J
Department of Diagnostic Radiology, Malmö Allmänna Sjukhus, University of Lund, Sweden.
Acta Radiol. 1989 Mar-Apr;30(2):197-200.
The findings at abdominal computed tomography (CT) in a patient with primary macroglobulinemia (Waldenström's disease) are reported. CT was of special value in monitoring the extent of the disease in the abdomen and the response to treatment. At the first examination the patient had changes in both the reticuloendothelial system and the small bowel. The prompt disappearance on treatment of the small bowel changes proves that these changes were due to a high plasma viscosity syndrome. The slow response on the liver, spleen and lymph nodes suggests lymphomatous engagement. Although the primary method to diagnose Waldenström's disease is through laboratory tests, CT is of use in monitoring the abdominal involvement, especially the response to treatment.
报告了一名原发性巨球蛋白血症（瓦尔登斯特伦病）患者腹部计算机断层扫描（CT）的检查结果。CT在监测腹部疾病范围和治疗反应方面具有特殊价值。首次检查时，患者的网状内皮系统和小肠均有改变。小肠改变在治疗后迅速消失，证明这些改变是由高血浆粘度综合征引起的。肝脏、脾脏和淋巴结的反应较慢提示淋巴瘤受累。虽然诊断瓦尔登斯特伦病的主要方法是通过实验室检查，但CT在监测腹部受累情况，尤其是治疗反应方面是有用的。
