Lazzari G, Lorenzini F, Ricci Petitoni G, Pastremoli A
Servizio di Radiologia, Ospedale degli Infermi, Faenza, RA.
Radiol Med. 1989 Sep;78(3):210-5.
The US findings are reported of 91 cases of abdominal lymphadenopathy examined by either histological or instrumental check-up, or follow-up. Adenopathies were classified according to etiology, which was lymphomatous or leukemic in 19 cases, metastatic in 56, and reactive or inflammatory in 16. Lymph node involvement was most frequent in porta hepatis, periportal and peri-aortocaval locations. US findings allowed a diagnostic approach to be planned based on number, size and morphology of adenomegalies, as well as on the involved lymph nodes. In the porta hepatis and periportal areas, adenomegalies were most often due to neoplastic metastases of the alimentary canal, and to inflammatory-reactive disorders. Adenopathies in the peri-aortocaval area were most often due to systemic and to severe neoplastic metastases having their primary location even out of the alimentary canal.
报告了美国91例经组织学或仪器检查或随访的腹部淋巴结病病例。根据病因对淋巴结病进行分类,其中淋巴瘤或白血病性19例,转移性56例,反应性或炎性16例。淋巴结受累最常见于肝门、门静脉周围和主动脉腔静脉周围部位。超声检查结果有助于根据肿大淋巴结的数量、大小和形态以及受累淋巴结制定诊断方法。在肝门和门静脉周围区域,淋巴结肿大最常见于消化道的肿瘤转移以及炎症反应性疾病。主动脉腔静脉周围区域的淋巴结病最常见于全身性和严重的肿瘤转移,其原发部位甚至在消化道之外。