Vock P, Hodler J
Radiology. 1986 May;159(2):395-9. doi: 10.1148/radiology.159.2.3961172.
Of 21 cases of cardiophrenic angle adenopathy (CAA) detected on computed tomography (CT) examination, 12 were due to malignant lymphomas, seven to carcinomas, and two to mesotheliomas. Of the nine lesions that were not malignant lymphomas, four were of supradiaphragmatic and five of infradiaphragmatic origin. On average, CAA was detected 4.6 years after the primary neoplasm was diagnosed. Only 29% of the patients were alive 14 months after CAA was detected on CT scans. Radiography was inferior to CT in the detection of CAA, with only 35% of radiography results clearly positive. Malignant lymphoma is a major but not exclusive cause of CAA, and it must be differentiated from lymphatic seeding of supradiaphragmatic and infradiaphragmatic malignancies. Unilateral CAA may point to supradiaphragmatic neoplasms or, if right-sided, to ovarian carcinoma, and bilateral CAA may indicate another neoplasm of infradiaphragmatic origin.
在计算机断层扫描（CT）检查中检测出的21例心膈角淋巴结肿大（CAA）病例中，12例是由恶性淋巴瘤引起，7例是由癌引起，2例是由间皮瘤引起。在9例非恶性淋巴瘤的病变中，4例起源于膈上，5例起源于膈下。平均而言，CAA在原发性肿瘤确诊后4.6年被检测到。在CT扫描检测到CAA后14个月，只有29%的患者存活。在CAA的检测方面，X线摄影不如CT，X线摄影结果只有35%明显呈阳性。恶性淋巴瘤是CAA的主要但并非唯一病因，必须将其与膈上和膈下恶性肿瘤的淋巴播散相鉴别。单侧CAA可能提示膈上肿瘤，如果是右侧，则可能提示卵巢癌，双侧CAA可能提示另一种膈下起源的肿瘤。
