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非霍奇金淋巴瘤的肝门周围肝脏受累：一例罕见病例报告及磁共振成像表现

Periportal hepatic involvement of non-Hodgkin lymphoma: a rare case report with magnetic resonance imaging findings.

作者信息

Beyazal Mehmet

机构信息

Department of Radiology, Recep Tayyip Erdoğan University, School of Medicine, Rize, Turkey.

出版信息

J Int Med Res. 2019 Feb;47(2):986-991. doi: 10.1177/0300060518810869. Epub 2018 Nov 22.

DOI:10.1177/0300060518810869
PMID:30465451
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6381464/
Abstract

Lymphoma with hepatic involvement can present with three morphological patterns: diffuse infiltrative, nodular, and mixed infiltrative-nodular. However, lymphoma with periportal infiltrative hepatic involvement is rare. There have been a few reports of cases with this type of hepatic involvement including ultrasound or computed tomography (CT) findings. In this case report, we present CT, magnetic resonance imaging (MRI), and diffusion-weighted MRI findings together with the histopathological results for a patient with periportal hepatic lymphoma presenting with obstructive jaundice.

摘要

伴有肝脏受累的淋巴瘤可呈现三种形态学模式

弥漫浸润性、结节性和浸润性-结节混合性。然而，伴有门静脉周围浸润性肝脏受累的淋巴瘤较为罕见。已有少数关于此类肝脏受累病例的报道，包括超声或计算机断层扫描（CT）表现。在本病例报告中，我们展示了一名表现为梗阻性黄疸的门静脉周围肝淋巴瘤患者的CT、磁共振成像（MRI）及扩散加权MRI表现以及组织病理学结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce0/6381464/f041b37397ab/10.1177_0300060518810869-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce0/6381464/0316f87375f3/10.1177_0300060518810869-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce0/6381464/f041b37397ab/10.1177_0300060518810869-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce0/6381464/0316f87375f3/10.1177_0300060518810869-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce0/6381464/f041b37397ab/10.1177_0300060518810869-fig2.jpg

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本文引用的文献

1
The imaging conundrum of hepatic lymphoma revisited.再探肝淋巴瘤的影像学难题。
Insights Imaging. 2015 Dec;6(6):679-92. doi: 10.1007/s13244-015-0437-6. Epub 2015 Oct 6.
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Whole-Body Diffusion-weighted Imaging in Hodgkin Lymphoma and Diffuse Large B-Cell Lymphoma.霍奇金淋巴瘤和弥漫性大B细胞淋巴瘤的全身扩散加权成像
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Can diffusion-weighted magnetic resonance imaging (DW-MRI) alone be used as a reliable sequence for the preoperative detection and characterisation of hepatic metastases? A meta-analysis.弥散加权磁共振成像（DW-MRI）能否单独作为一种可靠的序列用于术前检测和肝脏转移瘤的特征分析？一项荟萃分析。
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Lymphoma presenting as an echogenic periportal mass: sonographic findings.表现为高回声门静脉周围肿块的淋巴瘤：超声检查结果
J Clin Ultrasound. 2008 Sep;36(7):437-9. doi: 10.1002/jcu.20453.
8
Multidetector CT and MRI findings in periportal space pathologies.门静脉周围间隙病变的多排螺旋CT和MRI表现
Eur J Radiol. 2007 Jan;61(1):3-10. doi: 10.1016/j.ejrad.2006.11.009. Epub 2006 Nov 22.
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Diagnosis of periportal hepatic lymphoma with contrast-enhanced ultrasonography.
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Burkitt's lymphoma representing periportal infiltrating mass on CT.伯基特淋巴瘤在CT上表现为肝门周围浸润性肿块。
Yonsei Med J. 2004 Aug 31;45(4):723-6. doi: 10.3349/ymj.2004.45.4.723.