Cocco G, Boccatonda A, D'Ardes D, Galletti S, Schiavone C
Unit of Internistic Ultrasound, Department of Medicine and Science of Aging, G. D'Annunzio University, Cesi-Met, via Luigi Polacchi, 66100, Chieti, CH, Italy.
Musculoskeletal Ultrasound School, Italian Society for Ultrasound in Medicine and Biology (SIUMB), Bologna, Italy.
J Ultrasound. 2018 Dec;21(4):339-342. doi: 10.1007/s40477-018-0318-1. Epub 2018 Aug 21.
We report the case of a 42-year-old patient referred to our department for the examination of two large, symmetrical inguinal lumps. The ultrasound examination of the swollen lymph node demonstrated a cortical echogenicity greater than the medullary echogenicity, and the vascularization stop around the cortical zone suggested a pathological pattern of mantle cell lymphoma. In this type of lymphoma, lymphocytes are localized in a mantle zone, inducing a thickening of the lumps. Therefore, for the first time, ultrasound examination detected sonographic vascular features of mantle cell lymphoma, allowing the identification of the disease and suggesting the specific histological diagnosis.
我们报告了一例42岁患者，因双侧腹股沟出现两个对称的大肿块前来我科检查。对肿大淋巴结进行超声检查发现，皮质回声高于髓质回声，且皮质区周围血管分布中断，提示为套细胞淋巴瘤的病理特征。在这种类型的淋巴瘤中，淋巴细胞位于套区，导致肿块增厚。因此，超声检查首次检测到套细胞淋巴瘤的超声血管特征，有助于疾病的识别并提示特定的组织学诊断。
