双侧肾上腺原发性淋的巴瘤1例.ppt

病例讨论;女，47岁。发热、盗汗，体重减轻两月余，上腹部胀痛、不适一月余。;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;肾上腺38Hu；肝55Hu;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;左肾;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;治疗40天后复查;肾上腺40Hu；肝58Hu;治疗40天后复查;治疗40天后复查;肾上腺56Hu；肝102Hu;？;肾上腺穿刺;诊断;原发性肾上腺淋巴瘤的诊断标准;组织学检查;病理会诊意见：;骨髓穿刺病理报告;临床特点;影像学特点;原发性肾上腺淋巴瘤的CT和MRI特征 【摘要】 目的 探讨原发性肾上腺淋巴瘤的CT和MRI特征，以提高对这种罕见病变的认识。方法 回顾性分析经病理证实的原发性肾上腺淋巴瘤5例，其中3例同时行MR和CT检查，2例仅行CT检查，观察其CT和MRI表现。 周良平 彭卫军 丁建辉 等。中华放射学杂志，2009年第9月第43卷第9期969-972;CT平扫（图1）示左肾上腺区巨大长椭圆形软组织肿块，密度均匀。 增强后（图2）肿块轻度均匀强化，未见明显坏死 ;图3为MR脂肪抑制T2W1，双侧肾上腺区见不规则高信号软组织肿块，左侧内部见低信号条纹影(箭)。 图4为MR TWl，肿块呈稍低信号。 ;病例3、 男，77岁， 双侧肾上腺原发性NHL。;病例4、 男，40岁， 双侧肾上腺原发性NHL。;图9病理片显示瘤细胞弥漫性增生，核呈空泡状．可见核仁(HE×400);　[摘要]结论 继发性肾上腺淋巴瘤多为B细胞来源NHL，常表现为肾上腺区均质或稍不均质的软组织肿块，增强扫描轻度强化。肿瘤小者多保持肾上腺形态，肿瘤???者易包绕同侧肾脏和相邻血管。 周良平 彭卫军 丁建辉等. 刘　　《当代医学》;继发性肾上腺淋巴瘤的诊断标准;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;