Tang Can, Zhang Heqing, Tian Mei, Peng Yulan
Department of Medical Ultrasound, West China Hospital, Sichuan University, Chengdu, China.
Department of Medical Ultrasound, Shangjin Nanfu Hospital, Sichuan University, Chengdu, China.
Front Oncol. 2024 Jul 2;14:1380392. doi: 10.3389/fonc.2024.1380392. eCollection 2024.
Primary hepatic lymphoma (PHL) is rare, and its early diagnosis is difficult. This article presents a primary hepatic non-Hodgkin's lymphoma (NHL) case report. A 52-year-old woman was admitted to the hospital due to a fever. After undergoing laboratory examination, contrast-enhanced computed tomography (CT), ultrasound, and contrast-enhanced ultrasound (CEUS), only CEUS suggested malignancy. Then, the patient underwent a laparoscopic liver biopsy, which diagnosed NHL. Previous studies have shown that hepatic lymphoma is a hypoglycemic tumor, and the enhanced CT and magnetic resonance imaging (MRI) scans are mostly mildly intensified. At the same time, the two-dimensional and color Doppler ultrasonography are mostly atypical. CEUS has unique advantages in displaying micro-vessels, which can be helpful in the diagnosis of primary hepatic lymphoma.
原发性肝淋巴瘤(PHL)较为罕见,且早期诊断困难。本文呈现了一例原发性肝非霍奇金淋巴瘤(NHL)病例报告。一名52岁女性因发热入院。经过实验室检查、对比增强计算机断层扫描(CT)、超声及对比增强超声(CEUS)检查后,仅CEUS提示为恶性病变。随后,该患者接受了腹腔镜肝活检,确诊为NHL。既往研究表明,肝淋巴瘤是一种低血糖性肿瘤,增强CT及磁共振成像(MRI)扫描大多呈轻度强化。同时,二维及彩色多普勒超声大多表现不典型。CEUS在显示微血管方面具有独特优势,有助于原发性肝淋巴瘤的诊断。