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[胸部非淋巴瘤性淋巴样疾病的X线诊断]

[X-ray diagnosis of non-lymphomatous lymphoid disorders of the chest].

作者信息

Bai Y X

出版信息

Zhonghua Fang She Xue Za Zhi. 1989 Jun;23(3):140-2.

PMID:2582902
Abstract

The non-lymphomatous lymphoid disorders of the chest are rare conditions characterized by infiltration of the pulmonary interstitium with lymphocytes and plasma cells. This article reported 6 pathologically proved cases, including Castleman's disease (3), pseudolymphoma (1), angioimmunoblastic lymphadenopathy (1), and lymphomatoid granulomatosis (1). The X-ray findings of these lesions were rather characteristic. In our series, the chest film showed large patchy areas of consolidation sometimes with the presence of air bronchogram in pseudolymphoma and lymphomatoid granulomatosis, simulating bronchiolo-alveolar carcinoma or pulmonary lymphoma roentgenologically. However, the former developed very slowly with little clinical symptoms. Most of the Castleman's disease in this series were found in young adults showing conspicuous, sharply marginated mediastinal node enlargement. Recognition of the aforementioned signs would bring about greater diagnostic accuracy.

摘要

胸部非淋巴瘤性淋巴样疾病是罕见病症,其特征为肺间质被淋巴细胞和浆细胞浸润。本文报告了6例经病理证实的病例,包括Castleman病(3例)、假性淋巴瘤(1例)、血管免疫母细胞性淋巴结病(1例)和淋巴瘤样肉芽肿病(1例)。这些病变的X线表现颇具特征性。在我们的病例系列中,胸部X线片显示大片状实变区,假性淋巴瘤和淋巴瘤样肉芽肿病有时可见空气支气管征,在影像学上类似细支气管肺泡癌或肺淋巴瘤。然而,前者发展非常缓慢,临床症状轻微。本系列中的大多数Castleman病见于年轻成人,表现为纵隔淋巴结明显肿大且边界清晰。认识到上述征象将提高诊断准确性。

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