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霍奇金病中心膈角淋巴结病的CT表现

CT demonstration of cardiophrenic angle lymphadenopathy in Hodgkin disease.

作者信息

Meyer J E, McLoud T C, Lindfors K K

出版信息

J Comput Assist Tomogr. 1985 May-Jun;9(3):485-8. doi: 10.1097/00004728-198505000-00012.

DOI:10.1097/00004728-198505000-00012
PMID:3989042
Abstract

Eleven patients with Hodgkin disease involving the cardiophrenic angle lymph nodes are described. Four were discovered at the time of initial staging, and the remainder represented a major site of relapse after therapy. Regression of adenopathy after chemotherapy was documented in six patients; surgical excision (three), biopsy (one) and postmortem examination confirmed the presence of recurrent disease in the remaining cases. Enlargement of cardiophrenic angle nodes was frequently overlooked on conventional chest radiography, but a rather typical appearance is readily identifiable on CT.

摘要

本文描述了11例累及心膈角淋巴结的霍奇金病患者。4例在初始分期时被发现,其余患者为治疗后复发的主要部位。6例患者化疗后肿大淋巴结消退;其余病例中,手术切除(3例)、活检(1例)及尸检证实存在复发性疾病。常规胸部X线检查常易漏诊心膈角淋巴结肿大,但CT上可轻易识别出一种较为典型的表现。

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引用本文的文献

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Omitting cardiophrenic lymph nodes in the treatment of patients with Hodgkin lymphoma via modified involved-site radiation therapy.采用改良累及野照射治疗霍奇金淋巴瘤时省略心膈角淋巴结。
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Lymphoma: a clinical view.淋巴瘤:临床视角。
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The association of paracardial adenopathy with hepatic metastasis found on CT arterial portography.CT动脉门静脉造影显示的心包旁腺病与肝转移的关联。
Abdom Imaging. 1995 May-Jun;20(3):201-5. doi: 10.1007/BF00200393.