肠系膜淋巴瘤累及的超声及体部计算机断层扫描表现：“三明治征”

Appearance of lymphomatous involvement of the mesentery by ultrasonography and body computed tomography: the "sandwich sign".

作者信息

Mueller P R, Ferrucci J T, Harbin W P, Kirkpatrick R H, Simeone J F, Wittenberg J

出版信息

Radiology. 1980 Feb;134(2):467-73. doi: 10.1148/radiology.134.2.7352232.

DOI:10.1148/radiology.134.2.7352232

Abstract

A characteristic appearance of lymphomatous involvement of the mesentery is demonstrated by ultrasonography and computed tomography. The presence of a lobulated confluent mass infiltrating the mesenteric leaves and encasing the superior mesenteric artery and veins producing a "sandwich-like" appearance is reported in seven patients with Hodgkin and non-Hodgkin lymphoma. Retroperitoneal adenopathy was present in all seven patients. In six, a correct prospective diagnosis was made and a major revision of therapeutic planning occurred. Laparotomy was deferred in three patients. The anatomy, pathophysiology, and clinical importance are detailed.

摘要

超声检查和计算机断层扫描显示了肠系膜淋巴瘤累及的特征性表现。据报道，7例霍奇金淋巴瘤和非霍奇金淋巴瘤患者存在分叶状融合肿块，浸润肠系膜叶并包绕肠系膜上动脉和静脉，呈现“三明治样”外观。所有7例患者均有腹膜后淋巴结肿大。其中6例作出了正确的前瞻性诊断，并对治疗方案进行了重大修订。3例患者推迟了剖腹手术。详细介绍了解剖学、病理生理学和临床重要性。