超声、CT与MRI对原发性睾丸淋巴瘤诊断价值的临床研究

doi:10.7517/issn.1674-0475.200304

影像科学与光化学 ›› 2020, Vol. 38 ›› Issue (6): 994-999.DOI: 10.7517/issn.1674-0475.200304

超声、CT与MRI对原发性睾丸淋巴瘤诊断价值的临床研究

胡兴荣¹, 朱鑫^1,2, 贵丹^1,2, 赵慧艳¹, 陈华东¹, 黄治华¹

1. 恩施土家族苗族自治州中心医院/湖北民族大学附属恩施州中心医院影像科, 湖北恩施 445000;
2. 湖北民族大学医学部, 湖北恩施 445000

收稿日期:2020-03-10 出版日期:2020-11-15 发布日期:2020-11-15
通讯作者: 胡兴荣

The Clinical Study of Diagnostic Value in Primary Testicular Lymphoma by Methods of Ultrasound, CT and MRI

HU Xingrong¹, ZHU Xin^1,2, GUI Dan^1,2, ZHAO Huiyan¹, CHEN Huadong¹, HUANG Zhihua¹

1. Department of Medical Imaging, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture/University Hospital of Hubei Minzu University, Enshi 445000, Hubei, P. R. China;
2. Health Science Center of Hubei Minzu University, Enshi 445000, Hubei, P. R. China

Received:2020-03-10 Online:2020-11-15 Published:2020-11-15

摘要/Abstract

摘要： 探讨超声、CT与MRI对原发性睾丸淋巴瘤（PTL）诊断的临床价值。回顾性分析11例经手术病理证实的PTL患者临床资料、组织病理和超声、CT及MRI影像学表现特征，与术后病理结果对比。10例11侧睾丸超声表现呈低、稍低回声，回声不均匀6侧，CDFI显示睾丸低回声区内血流信号丰富。5例6侧睾丸CT呈等、稍低密度，分界不清楚，增强呈中等较均匀强化。11例13侧睾丸肿瘤MRI呈弥漫性占位，T1WI均呈较均匀等低信号，T2WI序列6侧睾丸肿瘤呈较均匀低信号，3侧睾丸呈以低信号为主的混杂信号，4侧睾丸呈稍高信号。术后病理均为弥漫性大B细胞淋巴瘤。超声、CT及MRI在PTL诊断中各有优势，结合三种检查方法，有助于诊断和鉴别诊断。

关键词: 睾丸肿瘤, 淋巴瘤, 超声, 体层摄影术, X线计算机, 磁共振成像

Abstract: To investigate the clinical value of ultrasonography, CT and MRI in the diagnosis of primary testicular lymphoma (PTL). To analyze the clinical data, histopathology, ultrasound, CT and MRI features of 11 patients with PTL confirmed by operation and pathology retrospectively,and compared with the postoperative pathological results. There were 11 sides of testis with low and slightly low echo and 6 sides with uneven echo in 10 cases. CDFI showed that there were abundant blood flow signals in hypoechoic area of testis.6 sides of testis in 5 patients showed equal or slightly low density, unclear boundary, and medium or even enhancement. In 11 patients, 13 testicular tumors showed diffuse mass on MRI, while on T1WI, they all showed uniform and low signal. On T2WI, 6 testicular tumors showed uniform and low signal, 3 testicles showed mixed signal with low signal, 4 testicles showed slightly high signal. The postoperative pathology was diffuse large B cell lymphoma. Ultrasound, CT and MRI have their own advantages in the diagnosis of PTL, and each has a relatively specific sign. Combined with three examination methods, it is helpful for diagnosis and differential diagnosis.

Key words: testis neoplasms, lymphoma, ultrasound, tomography, X-ray computer, magnetic resonance imaging

胡兴荣, 朱鑫, 贵丹, 赵慧艳, 陈华东, 黄治华. 超声、CT与MRI对原发性睾丸淋巴瘤诊断价值的临床研究[J]. 影像科学与光化学, 2020, 38(6): 994-999.

HU Xingrong, ZHU Xin, GUI Dan, ZHAO Huiyan, CHEN Huadong, HUANG Zhihua. The Clinical Study of Diagnostic Value in Primary Testicular Lymphoma by Methods of Ultrasound, CT and MRI[J]. Imaging Science and Photochemistry, 2020, 38(6): 994-999.

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超声、CT与MRI对原发性睾丸淋巴瘤诊断价值的临床研究

The Clinical Study of Diagnostic Value in Primary Testicular Lymphoma by Methods of Ultrasound, CT and MRI

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