Görg C, Weide R, Schwerk W B
Zentrum für Innere Medizin, Philipps-Universität, Marburg/Lahn.
Z Gastroenterol. 1994 Oct;32(10):597-602.
Between 1980 and 1993, 680 patients with malignant lymphoma were referred for abdominal sonography as a part of initial staging. In 53 patients intrahepatic abnormalities suspected for lymphoma involvement were detected. 6 of these had metastases of lung cancer (n = 4) or microabscesses (n = 2). Sonographic findings of 47 patients with hepatic lymphoma were reviewed. Hepatic lymphoma was confirmed by histologic examination (n = 23) and sonographic/clinical follow-up (n = 24). 12 patients had Hodgkin's disease, 18 high-grade NHL, and 17 low-grade NHL. Lesions were hypoechoic in all cases. Five different sonographic patterns were found: small nodular lesions (n = 28; 60%), large nodular lesions (n = 14; 30%), bulky disease (n = 2; 4%) and diffuse involvement (n = 2; 4%). One patient (2%) had lymphomatous involvement which surrounded the portal vessels. High-grade NHL preferred patterns of large nodular or bulky diseases (9 of 17 patients). Small lesions were found to be more typical in low-grade NHL (13 of 18 patients), and Hodgkin's disease (9 of 12 patients).
1980年至1993年间，680例恶性淋巴瘤患者接受腹部超声检查作为初始分期的一部分。53例患者检测到怀疑有淋巴瘤累及的肝内异常。其中6例有肺癌转移（4例）或微小脓肿（2例）。回顾了47例肝淋巴瘤患者的超声检查结果。肝淋巴瘤经组织学检查确诊（23例）及超声/临床随访确诊（24例）。12例为霍奇金病，18例为高级别非霍奇金淋巴瘤，17例为低级别非霍奇金淋巴瘤。所有病例病变均为低回声。发现五种不同的超声表现类型：小结节性病变（28例，60%）、大结节性病变（14例，30%）、肿块性病变（2例，4%）及弥漫性累及（2例，4%）。1例患者（2%）有淋巴瘤累及包绕门静脉血管。高级别非霍奇金淋巴瘤多表现为大结节性或肿块性病变（17例患者中的9例）。小结节性病变在低级别非霍奇金淋巴瘤（18例患者中的13例）及霍奇金病（12例患者中的9例）中更为典型。
