Strauss S, Libson E, Schwartz E, Peylan-Ramu N, Lebensart P D, Bloom R A, Itzchak Y
AJR Am J Roentgenol. 1986 Mar;146(3):549-52. doi: 10.2214/ajr.146.3.549.
Renal involvement is a common finding at necropsy in patients with American Burkitt lymphoma, but its in vivo sonographic features have received little attention in the literature. Of 29 patients with American Burkitt lymphoma who underwent sonography, 10 were found to have renal involvement. The 10 patients demonstrated a range of abnormalities, notably renomegaly (nine patients), diffuse increase in cortical echogenicity (six), and focal renal masses (three). The focal infiltrations were, unexplicably, hypoechoic in two patients and hyperechoic in one. Hydronephrosis was seen in five patients. One patient had evidence of calcium phosphate renal stones. Response to therapy can be assessed by changes in renal size and cortical echogenicity, as well as disappearance of focal lesions.
在美国伯基特淋巴瘤患者的尸检中，肾脏受累是常见发现，但其实体超声特征在文献中很少受到关注。在接受超声检查的29例美国伯基特淋巴瘤患者中，发现10例有肾脏受累。这10例患者表现出一系列异常，尤其是肾肿大（9例）、皮质回声弥漫性增强（6例）和局灶性肾肿块（3例）。令人费解的是，局灶性浸润在2例患者中为低回声，1例为高回声。5例患者出现肾积水。1例患者有磷酸钙肾结石的证据。治疗反应可通过肾脏大小、皮质回声的变化以及局灶性病变的消失来评估。
