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1例原发性胆囊淋巴瘤的MRI表现

MRI findings in 1 case of primary gallbladder lymphoma.

作者信息

Wang Xiaoxuan, Sun Min, Kang Liqing

机构信息

Department of Magnetic Resonance Imaging, Cangzhou Central Hospital, Cangzhou 061000, China.

出版信息

BJR Case Rep. 2024 Apr 18;10(3):uaae011. doi: 10.1093/bjrcr/uaae011. eCollection 2024 May.

DOI:10.1093/bjrcr/uaae011
PMID:38699520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11061652/
Abstract

We describe a case of gallbladder extra-nodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT-ML). MALT-ML is rare, and its clinical manifestations are lack of specificity. A few cases have been reported, and no characteristic imaging features have been described. We discussed the challenges of MRI in diagnosing MALT-ML of gallbladder, especially in differentiating it from gallbladder cancer. We found a "comb-like" sign in the inner wall of gallbladder on T2WI, which may be helpful in diagnosing gallbladder MALT-ML.

摘要

我们描述了一例黏膜相关淋巴组织边缘区B细胞淋巴瘤（MALT-ML）累及胆囊的病例。MALT-ML较为罕见，其临床表现缺乏特异性。已有少数病例报道，但尚未描述其特征性影像学表现。我们探讨了MRI诊断胆囊MALT-ML的挑战，尤其是将其与胆囊癌相鉴别。我们在T2WI上发现胆囊内壁有“梳状”征，这可能有助于诊断胆囊MALT-ML。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd25/11061652/5af1aa85c8e5/uaae011f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd25/11061652/924f0d0cf1f2/uaae011f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd25/11061652/7f510b582f99/uaae011f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd25/11061652/9d97cd392546/uaae011f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd25/11061652/5af1aa85c8e5/uaae011f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd25/11061652/924f0d0cf1f2/uaae011f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd25/11061652/7f510b582f99/uaae011f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd25/11061652/9d97cd392546/uaae011f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd25/11061652/5af1aa85c8e5/uaae011f4.jpg

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本文引用的文献

1
[Research progress on the etiology and pathogenesis of MALT lymphoma].[黏膜相关淋巴组织淋巴瘤的病因及发病机制研究进展]
Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2012 Dec;20(6):1526-30.
2
Ocular adnexal lymphoma and Helicobacter pylori gastric infection.眼附属器淋巴瘤与幽门螺杆菌胃部感染。
Am J Hematol. 2010 Sep;85(9):645-9. doi: 10.1002/ajh.21765.
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Primary thymic mucosa-associated lymphoid tissue lymphoma: diagnostic tips.原发性胸腺黏膜相关淋巴组织淋巴瘤：诊断要点。
J Thorac Oncol. 2010 Jan;5(1):117-21. doi: 10.1097/JTO.0b013e3181c07df8.
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Primary malignant lymphoma of the gallbladder: a case report and literature review.原发性胆囊恶性淋巴瘤：一例报告及文献复习
Br J Radiol. 2009 Jan;82(973):e15-9. doi: 10.1259/bjr/30768802.
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Primary non-Hodgkin's lymphoma of the gallbladder.
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