Burgener F A, Hamlin D J
AJR Am J Roentgenol. 1981 Aug;137(2):337-42. doi: 10.2214/ajr.137.2.337.
Abdominal manifestations of histiocytic lymphoma were reviewed in 112 patients who had at least a 2-year follow-up period or had died. In 70% abdominal histiocytic lymphoma was found and in 29% histiocytic lymphoma was initially limited to the abdomen. Localized abdominal histiocytic lymphoma presented as (1) intrinsic disease of the stomach, (2) pancreatic/peripancreatic masses, (3) high aortic lymphadenopathy, (4) mesenteric masses associated with small bowel infiltration, and (5) intrinsic ileocolic masses. When all patients with abdominal histiocytic lymphoma are considered, computed tomography was positive in 87%, lymphography in 86%, upper gastrointestinal barium examination in 50%, excretory urography in 38%, and barium enema in 25%. The extent of abdominal histiocytic lymphoma was more accurately assessed with computed tomography than any other radiologic examination including lymphography. Computed tomography seems to be the radiologic examination of choice in the staging of abdominal histiocytic lymphoma; the other examinations should be used when specific symptoms are present or when the computed tomographic findings are equivocal.
对112例至少有2年随访期或已死亡的组织细胞性淋巴瘤患者的腹部表现进行了回顾。70%的患者发现有腹部组织细胞性淋巴瘤，29%的患者最初淋巴瘤局限于腹部。局限性腹部组织细胞性淋巴瘤表现为：（1）胃部原发性疾病；（2）胰腺/胰腺周围肿块；（3）高位主动脉旁淋巴结肿大；（4）伴有小肠浸润的肠系膜肿块；（5）原发性回结肠肿块。若将所有腹部组织细胞性淋巴瘤患者考虑在内，计算机断层扫描（CT）阳性率为87%，淋巴造影为86%，上消化道钡餐检查为50%，排泄性尿路造影为38%，钡剂灌肠为25%。与包括淋巴造影在内的任何其他放射学检查相比，CT能更准确地评估腹部组织细胞性淋巴瘤的范围。CT似乎是腹部组织细胞性淋巴瘤分期的首选放射学检查；当出现特定症状或CT检查结果不明确时，应采用其他检查。
