Jochelson M S, Balikian J P, Mauch P, Liebman H
AJR Am J Roentgenol. 1983 Mar;140(3):483-8. doi: 10.2214/ajr.140.3.483.
Eleven patients with pericardiac and paracardiac lymphomatous involvement were studied. Computed tomography (CT) of the chest was compared to plain chest films for its ability to define the sites and extent of involvement in the paracardiac area. Nine of the 11 patients had abnormalities on chest radiography, which included abnormal contours in the fat pad areas and along the heart border, or an enlarged cardiac silhouette. Two patients had normal cardiac silhouettes; however, CT showed definite abnormalities. CT differentiated adenopathy from fat pads in two patients and pericardial effusion from cardiomegaly or paracardiac adenopathy in two patients. The exact location and extent of the paracardiac adenopathy initially seen on chest film was defined by CT. Careful analysis of the peri- and paracardiac areas by plain films and CT is essential to the diagnosis and the proper management of patients with Hodgkin and non-Hodgkin lymphoma.
对11例有心包和心旁淋巴瘤累及的患者进行了研究。将胸部计算机断层扫描（CT）与胸部平片进行比较，以评估其确定心旁区域受累部位和范围的能力。11例患者中有9例胸部X线检查有异常，包括脂肪垫区域和心脏边缘轮廓异常，或心脏轮廓增大。2例患者心脏轮廓正常；然而，CT显示有明确异常。CT在2例患者中区分了淋巴结病与脂肪垫，在2例患者中区分了心包积液与心脏扩大或心旁淋巴结病。胸部平片最初所见的心旁淋巴结病的确切位置和范围由CT确定。通过平片和CT仔细分析心包和心旁区域对于霍奇金淋巴瘤和非霍奇金淋巴瘤患者的诊断和恰当治疗至关重要。
