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[恶性非霍奇金淋巴瘤脾脏和肝脏病变的计算机断层扫描诊断]

[Computerized tomography diagnosis of splenic and hepatic lesions in malignant non-Hodgkin's lymphomas].

作者信息

Cheremisin V M, Mazurov V I, Anosov N A, Savello V E, Bol'shakov G A, Novikov A A, Rassokhin V V, Kulibaba T G

出版信息

Vestn Rentgenol Radiol. 1995 Nov-Dec(6):23-6.

PMID:8629341
Abstract

Seventy eight patients with varying malignancy non-Hodgkin's lymphomas were examined. Signs of extranodal damage of the spleen and liver were studied. Spleno- and hepatomegaly were signs of the commonest diffuse visceral involvements. In terms of the malignancy (low- or high-grade), splenomegaly was seen in 71.4 and 82.5% of patients and hepatomegaly was observed in 43.9 and 28.6%, respectively. In addition, irregular visceral outlines, tuberosity, changed density of the parenchyma and its homogeneity. A high correlation was found between the enlargement of the viscera and their decreased parenchymal density. Focal visceral involvements are less difficult to be diagnosed than diffuse ones, but they are much rarer. Computerized tomographic findings indicate the malignancy of a process.

摘要

对78例患有不同恶性程度非霍奇金淋巴瘤的患者进行了检查。研究了脾脏和肝脏的结外损害体征。脾肿大和肝肿大是最常见的弥漫性内脏受累的体征。就恶性程度(低级别或高级别)而言,脾肿大分别见于71.4%和82.5%的患者,肝肿大分别见于43.9%和28.6%的患者。此外,还有内脏轮廓不规则、有结节、实质密度改变及其均匀性变化。发现内脏肿大与其实质密度降低之间存在高度相关性。局灶性内脏受累比弥漫性内脏受累更难诊断,但更为罕见。计算机断层扫描结果提示病变具有恶性特征。

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