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目的探讨脾淋巴瘤的CT表现及CT诊断价值,以提高对其诊断能力。方法回顾性分析临床病理证实并经CT检查的淋巴瘤15例,并作文献复习。结果根据病理类型,15例脾淋巴瘤中,巨块型5例,均为脾内单发类圆形边缘不规则巨块性病灶;多发结节型8例,多发类圆形或分叶状、边界清晰的结节性病灶,绝大多数病灶密度均匀,增强后呈轻度均匀或边缘强化,少数结节灶密度不均;弥漫粟粒型2例,CT表现为脾弥漫性肿大,密度减低,其中1例伴有粟粒小结节状低密度灶。9例伴有脾外淋巴瘤。结论脾淋巴瘤的CT表现有一定特征性,腹内脾外病变CT表现有助于诊断。
Objective To investigate CT findings and CT diagnosis of splenic lymphoma in order to improve its diagnostic ability. Methods Retrospective analysis of 15 cases of clinically and pathologically confirmed lymphoma by CT examination and literature review. Results According to the pathological type, 15 cases of splenic lymphoma and 5 cases of bulky lymphoid spondylolisthesis were sporadic irregular massive macroscopic lesions with round edges. Multiple nodules were found in 8 cases, multiple round or lobulated , Clear border nodular lesions, the vast majority of lesions were uniform density, enhancement was mild or edge enhancement, a few uneven density of nodules; diffuse miliary type in 2 cases, CT showed diffuse splenomegaly, density Reduce, including 1 case of miliary nodular low-density lesions. Nine patients had splenic lymphoma. Conclusion The CT findings of splenic lymphoma have certain characteristics. The CT findings of intra-abdominal splenic lesions are helpful to the diagnosis.