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罕见肺黏膜相关淋巴组织淋巴瘤及其胸部CT鉴别诊断

Rare Pulmonary MALT Lymphomas and Its Differential Diagnosis On Chest CT.

作者信息

Xu Tongzhen, Zhang Shulan, Liu Fang

机构信息

Department of Thoracic Surgery, Weifang People's Hospital, The First Affiliated Hospital of Weifang Medical College, Weifang, China.

Department of Pediatric Medicine, Zhucheng Hospital of Traditional Chinese Medicine, Weifang, China.

出版信息

J Investig Med High Impact Case Rep. 2024 Jan-Dec;12:23247096241300918. doi: 10.1177/23247096241300918.

Abstract

Pulmonary nodules caused by mucosa-associated lymphomas (MALT lymphomas) are uncommon, comprising for less than 0.5% of all primary lung tumors. While biopsy is the main method for diagnosing the disease, the significance of differential pulmonary diagnosis based on imaging is often overlooked. In this report, we present a case of a patient with multiple disseminated nodules in the lungs, as well as severe anemia and incidental involvement of multiple lymph nodes. We discuss the differential diagnosis of pulmonary MALT lymphomas on computed tomography (CT) images and emphasize the significance of considering this uncommon entity in the evaluation of pulmonary nodules.

摘要

黏膜相关淋巴瘤(MALT淋巴瘤)引起的肺结节并不常见,占所有原发性肺肿瘤的比例不到0.5%。虽然活检是诊断该病的主要方法,但基于影像学进行肺部鉴别诊断的意义常常被忽视。在本报告中,我们介绍了一例肺部有多个播散性结节、严重贫血且伴有多个淋巴结偶然受累的患者。我们讨论了在计算机断层扫描(CT)图像上对肺MALT淋巴瘤的鉴别诊断,并强调在评估肺结节时考虑这一罕见实体的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9304/11650487/d2393bbf21f3/10.1177_23247096241300918-fig1.jpg

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