Zeller C, Schmutz G, Giron J P, Kempf F
J Radiol. 1983 Apr;64(4):233-9.
The authors review radiological and endoscopical data of 30 patients with primary or secondary colonic and rectal non Hodgkin's lymphomatous involvement, and describe the radiologic pattern of this peculiar entity. Confirmation of the diagnosis is based in all cases on the pathological study of surgical specimens or per endoscopical biopsy. Eight patients (26%) presented non specific involvement secondary to small bowel or gastric localisation. The other patients (74%) had intrinsic lesions who may either remain localised (commonly endo-enteric type) or extend to whole of the colon (infiltrating type). After a description of the radiological features of these wide spectrum lesions, the authors consider the differential diagnosis and the respective contribution of colonic endoscopy and barium enema.
作者回顾了30例原发性或继发性结肠和直肠非霍奇金淋巴瘤受累患者的放射学和内镜检查数据,并描述了这一特殊疾病实体的放射学表现形式。所有病例均通过手术标本的病理研究或经内镜活检来确诊。8例患者(26%)表现为继发于小肠或胃病变的非特异性受累。其他患者(74%)有原发性病变,这些病变可能局限于局部(通常为肠内型),也可能扩展至整个结肠(浸润型)。在描述了这些广泛病变的放射学特征后,作者探讨了鉴别诊断以及结肠内镜检查和钡剂灌肠各自的作用。