Görg C, Weide R, Görg K, Restrepo I
Abteilung für Innere Medizin, Universität Marburg.
Ultraschall Med. 1996 Aug;17(4):179-84. doi: 10.1055/s-2007-1003177.
Abdominal sonography is now the most frequently used screening method for the detection of abdominal lymph node enlargement. For proper classification, size, localisation and infiltration pattern must be known. The definitive determination whether lymph nodes are benign or malignant cannot be made by the size of the lesion alone. The localisation (parietal/visceral) of enlarged lymph nodes has been shown to be of significance in the staging of abdominal carcinomas. Different infiltration patterns (diffuse small nodular, focal small nodular, focal large nodular, bulky formations) show the broad spectrum of abdominal lymphomas detected by ultrasound. Knowledge of these different infiltration patterns together with clinical information often helps to discriminate between lymph node enlargement caused by inflammation, metastasis, or malignant lymphoma. The definitive diagnosis is made via laparotomy, ultrasound guided biopsy or sonographic follow-up studies.
腹部超声检查是目前检测腹部淋巴结肿大最常用的筛查方法。为了进行准确分类，必须了解淋巴结的大小、位置和浸润模式。仅通过病变大小无法明确判断淋巴结是良性还是恶性。肿大淋巴结的位置（壁层/脏层）在腹部癌分期中具有重要意义。不同的浸润模式（弥漫性小结节、局灶性小结节、局灶性大结节、肿块形成）显示了超声检测到的腹部淋巴瘤的广泛范围。了解这些不同的浸润模式并结合临床信息通常有助于区分由炎症、转移或恶性淋巴瘤引起的淋巴结肿大。最终诊断通过剖腹手术、超声引导下活检或超声随访研究做出。
