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腹部和骨盆淋巴瘤的并发症:临床和影像学综述。

Complications of lymphoma in the abdomen and pelvis: clinical and imaging review.

机构信息

Department of Diagnostic Radiology, American University of Beirut Medical Center, Riad El-Solh, PO Box 11-0236, Beirut, 1107 2020, Lebanon.

Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

出版信息

Abdom Radiol (NY). 2022 Aug;47(8):2937-2955. doi: 10.1007/s00261-022-03567-5. Epub 2022 Jun 12.

Abstract

Involvement of the abdomen and pelvis is common in lymphoma. Nodal and extranodal abdominal and pelvic lymphoma may present with various complications. Complications are most common in high-grade lymphomas, especially diffuse large B-cell lymphoma. Complications may occur as the initial manifestation of lymphoma, during treatment course, or late following complete disease remission. Most complications are associated with worse prognosis and increased mortality. Imaging is essential in evaluation of disease extent and diagnosis of complications. Therefore, radiologists should be familiar with the clinical context and imaging features of abdominal and pelvic lymphoma complications. We provide a comprehensive, organ system-based approach, and clinical and imaging review of complications of abdominal and pelvic lymphoma along with radiologic images of illustrated cases of the most commonly encountered complications.

摘要

腹部和骨盆受累在淋巴瘤中很常见。腹部和骨盆的结内和结外淋巴瘤可能会出现各种并发症。并发症在高级别淋巴瘤中最为常见,尤其是弥漫性大 B 细胞淋巴瘤。并发症可能作为淋巴瘤的首发表现,也可能在治疗过程中或完全缓解后晚期出现。大多数并发症与预后较差和死亡率增加有关。影像学检查对于评估疾病范围和诊断并发症至关重要。因此,放射科医生应该熟悉腹部和骨盆淋巴瘤并发症的临床背景和影像学特征。我们提供了一种基于系统的全面方法,对腹部和骨盆淋巴瘤并发症的临床和影像学进行了回顾,并提供了最常见并发症的影像学图片示例。

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