多排螺旋计算机断层扫描对同步性淋巴瘤和其他实体恶性肿瘤的评估
Multidetector computed tomography evaluation of synchronous lymphoma and other solid malignancies.
作者信息
El-Badrawy Adel, Gadelhak Basma, Helmy Eman M, Farouk Omar, Fady Tamer, Refky Basel, Elzaafarany Maha, Emarah Ziad, Taalab Mona M, Eisa Noha, El-Etreby Shahira Ali, Bahgat Monir H, El-Badrawy Mohammad K, Elalfy Hatem, Besheer Tarek, El-Mesery Ahmed, Akl Mohamed Farouk, Megahed Nirmeen, Khashaba Eman Omar
机构信息
Department of Radiology, Public Health and Community Medicine, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Department of Surgical Oncology, Mansoura University, Mansoura, Egypt.
出版信息
J Cancer Res Ther. 2020 Jan-Mar;16(1):60-65. doi: 10.4103/jcrt.JCRT_325_17.
OBJECTIVE
The objective of this study is to review the multidetector computed tomography (MDCT) findings of synchronous lymphoma and other solid malignancies.
PATIENTS AND METHODS
This retrospective study included 18 patients confirmed with diagnosis of lymphoma and other solid malignancies. They were 8 women and 10 men (mean age, 62.5 year; range, 44-73 years). CT scanning was performed on one of the two systems: 64 MDCT in 11 patients and 6 MDCT in 7 patients. All 36 malignancies were underwent pathological evaluation.
RESULTS
All cases were confirmed pathologically. Lymphomas were Hodgkin disease ( n = 5 patients) and non-Hodgkin lymphoma ( n = 13 patients). Hepatocellular carcinoma was detected in five patients. Bronchogenic carcinoma was detected in two patients. Renal cell carcinoma was detected in two patients. Breast carcinoma was detected in two patients. Prostatic carcinoma was detected in two patients. Gastric carcinoma was detected in two patients. Endometrial carcinoma was detected in one patient. Colonic carcinoma was detected in one patient. Thyroid carcinoma was detected in one patient.
CONCLUSIONS
MDCT scanning is accurately imaging modality for the evaluation of synchronous lymphoma and other solid malignancies. More reports and accumulation of such cases should help to clarify the mechanisms, contribute to a further understanding of this phenomenon, and may lead to a new treatment strategy for synchronous lymphoma and other solid malignancies.
目的
本研究的目的是回顾多排螺旋计算机断层扫描（MDCT）对同步性淋巴瘤及其他实体恶性肿瘤的检查结果。
患者与方法
这项回顾性研究纳入了18例确诊为淋巴瘤及其他实体恶性肿瘤的患者。其中女性8例，男性10例（平均年龄62.5岁；范围44 - 73岁）。CT扫描在以下两种系统之一上进行：11例患者使用64排MDCT，7例患者使用6排MDCT。所有36处恶性肿瘤均接受了病理评估。
结果
所有病例均经病理证实。淋巴瘤包括霍奇金病（5例患者）和非霍奇金淋巴瘤（13例患者）。5例患者检测出肝细胞癌。2例患者检测出支气管癌。2例患者检测出肾细胞癌。2例患者检测出乳腺癌。2例患者检测出前列腺癌。2例患者检测出胃癌。1例患者检测出子宫内膜癌。1例患者检测出结肠癌。1例患者检测出甲状腺癌。
结论
MDCT扫描是评估同步性淋巴瘤及其他实体恶性肿瘤的准确成像方式。更多此类病例的报告和积累应有助于阐明其机制，促进对这一现象的进一步理解，并可能带来同步性淋巴瘤及其他实体恶性肿瘤的新治疗策略。
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