儿童浅表器官结外淋巴瘤超声诊断及病理特征分析.docVIP

儿童浅表器官结外淋巴瘤超声诊断及病理特征分析 　　[摘要]目的 探讨儿童浅表器官结外淋巴瘤的超声及大体病理特征。方法 回顾性分析深圳市儿童医院2007年9月～2016年6月收治的16例经手术病理证实的儿童浅表器官结外淋巴瘤的超声及病理特征。结果 16例中，非霍奇金淋巴瘤11例，霍奇金淋巴瘤5例。儿童浅表器官结外淋巴瘤超声表现为肿块型6例，弥漫型10例。6例肿块型表现为低回声团块或极低回声团块，边界欠清，形态不规则、呈分叶状，后方回声可增强，内回声不均匀，内部均未见液性无回声，罕见钙化强回声，CDFI可显示病灶内血流信号丰富。10例弥漫型表现为实质脏器弥漫性增大，内回声减低、不均匀，其内显示散在极低回声区，无明显液性无回声及钙化强回声，CDFI显示实质脏器血流信号丰富，低回声团内显示点、条状血流信号。结论 儿童浅表器官结外淋巴瘤有较典型的超声特征，超声在淋巴瘤的诊断中可以提供有价值的诊断信息。 　　[关键词]浅表器官；结外淋巴瘤；超声；儿童；病理 　　[中图分类号] R725.5 [文献标识码] A [文章编号] 1674-4721（2017）06（a）-0120-04 　　[Abstract]Objective To explore the features of ultrasonography and general pathology on extranodal lymphoma of superficial organs in children.Methods The ultrasonographic and pathological features of 16 children with superficial organ extranodal lymphomas proved by surgery and pathology in Shenzhen Children′s Hospital from September 2007 to June 2016 were analyzed retrospectively.Results Among 16 cases，11 cases were diagnosed as non-Hodgkin lymphoma and the rest 5 cases were Hodgkin lymphoma.By ultrasonograpy，6 cases of the extranodal lymphoma were in mass-type，and the rest in diffuse type.The features of the 6 mass-type tumor were low or extremely low echo mass，less clear of the margin，irregularshape，lobulatedshape，enhanced rear echo，uneven internal echo，absence of fluid echoless inside，rare strong echo of calcification，and rich blood flow signal in focus by CDFI.The characteristics of the rest 10 cases of diffuse type tumors were diffusive enlargement of solid organs，decreased and uneven internal echo，dissipated extreme low-echo inside，absence of marked fluid echoless and strong echo due to calcification，rich blood flow signal in solid organs，and dotted and striped blood signals in low echo.Conclusion The typical ultrasonographic features were existent in extranodal lymphoma of superficial organs in children.Ultrasonography can provide valuable diagnostic information in the diagnosis of lymphoma. 　　[Key words]Superficial organ；Extranodal lymphoma；Ultrasound；Children；Patholo