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结肠和直肠淋巴瘤。6例报告并文献复习

Colonic and rectal lymphomas. A report of six cases and review of the literature.

作者信息

Bruneton J N, Thyss A, Bourry J, Bidoli R, Schneider M

出版信息

Rofo. 1983 Mar;138(3):283-7. doi: 10.1055/s-2008-1055726.

DOI:10.1055/s-2008-1055726
PMID:6403420
Abstract

In connection with six cases of colorectal lymphomas, including five cases of non-Hodgkin lymphomas (3 primary, 2 secondary), and one case of Hodgkin's disease, the authors review the literature concerning the general features and radiological aspects of these pathologies. The radiological signs observed during barium enemas for non-Hodgkin lymphomas are as follows: a small nodular pattern, frequently with multiple lesions (45.7% of cases), a diffuse or infiltrating pattern (25.4%), a filling defect (22.9%), endo- and exo-luminal images (17.8%), ulcerating patterns (3.4%) and a pure mesenteric form (0.8%). Thus, associated radiological forms are present in 16% of cases. The preferential site is the caecum (52.5% of cases), followed by the rectum (21.2%). Colonic or rectal involvement by Hodgkin's disease is extremely rare. From a radiological viewpoint, the most frequently described pattern in the literature is an infiltrating lesion which may or may not cause stenosis; the most frequent site is the caecum.

摘要

关于6例结直肠淋巴瘤,包括5例非霍奇金淋巴瘤(3例原发性,2例继发性)和1例霍奇金病,作者回顾了有关这些病变的一般特征和放射学表现的文献。非霍奇金淋巴瘤在钡灌肠检查时观察到的放射学征象如下:小结节型,常伴有多发损害(45.7%的病例),弥漫或浸润型(25.4%),充盈缺损(22.9%),腔内和腔外影像(17.8%),溃疡型(3.4%)和单纯肠系膜型(0.8%)。因此,16%的病例存在相关放射学表现形式。好发部位是盲肠(52.5%的病例),其次是直肠(21.2%)。霍奇金病累及结肠或直肠极为罕见。从放射学角度来看,文献中最常描述的表现形式是浸润性病变,可导致或不导致狭窄;最常见部位是盲肠。

相似文献

1
Colonic and rectal lymphomas. A report of six cases and review of the literature.结肠和直肠淋巴瘤。6例报告并文献复习
Rofo. 1983 Mar;138(3):283-7. doi: 10.1055/s-2008-1055726.
2
[Radiological aspects of rectal and colonic localizations of malignant non-Hodgkin's lymphoma. Apropos of 30 cases].[直肠和结肠恶性非霍奇金淋巴瘤定位的放射学表现。附30例报告]
J Radiol. 1983 Apr;64(4):233-9.
3
CT of primary colonic lymphoma.
Clin Imaging. 1994 Apr-Jun;18(2):131-41. doi: 10.1016/0899-7071(94)90050-7.
4
Primary lymphoma of the colon and rectum: CT and barium enema correlation.结肠和直肠原发性淋巴瘤:CT与钡灌肠检查的相关性
Abdom Imaging. 1993 Fall;18(4):376-80. doi: 10.1007/BF00201787.
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[Hemoblastosic localizations in the colon and rectum. Radiological observations in 18 cases].[结肠和直肠的成血细胞定位。18例的放射学观察]
Nunt Radiol. 1968 Nov;34(11):1215-39.
6
[X-ray diagnosis of the invasiveness of colorectal neoplasms].
Nihon Rinsho. 1981 May;39(5):2103-7.
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[Progress in the early diagnosis of cancer of the colon and rectum].[结肠直肠癌的早期诊断进展]
Acta Gastroenterol Latinoam. 1978 Sep;8(2):121-9.
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[Role of surgery for non-Hodgkin lymphoma of the gastrointestinal tract].[手术在胃肠道非霍奇金淋巴瘤中的作用]
Minerva Chir. 1993 Feb;48(3-4):93-7.
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[Clinical and pathological aspects of "rare" metastases of colorectal carcinoma].[结直肠癌“罕见”转移的临床与病理方面]
Helv Chir Acta. 1984 Mar;50(6):757-64.
10
Colorectal cancer. Radiological assessment.结直肠癌。放射学评估。
Recent Results Cancer Res. 1982;83:77-85.

引用本文的文献

1
Diffuse large B-cell lymphoma of the colon with synchronous liver metastasis: a rare case report mimicking metastatic colorectal adenocarcinoma.结肠弥漫性大B细胞淋巴瘤伴同步肝转移:1例罕见病例报告,酷似转移性结直肠癌。
BMC Surg. 2014 Oct 7;14:75. doi: 10.1186/1471-2482-14-75.
2
Primary non-Hodgkin lymphomas in the small and large intestine: clinicopathological characteristics and management of 40 patients.小肠和大肠原发性非霍奇金淋巴瘤:40例患者的临床病理特征及治疗
Int J Hematol. 2008 May;87(4):375-381. doi: 10.1007/s12185-008-0068-5.
3
Primary lymphoma of the colon and rectum: CT and barium enema correlation.
结肠和直肠原发性淋巴瘤:CT与钡灌肠检查的相关性
Abdom Imaging. 1993 Fall;18(4):376-80. doi: 10.1007/BF00201787.
4
Lymphoma of the colon and rectum.结肠和直肠淋巴瘤
Postgrad Med J. 1986 Jul;62(729):615-20. doi: 10.1136/pgmj.62.729.615.