摘要
目的：探讨眼眶淋巴瘤的CT表现，提高对其诊断鉴别能力。方法：回顾性分析经手术病理证实的12例眼眶淋巴瘤的CT表现，并作文献复习。结果：12例淋巴瘤中仅1例为霍奇金淋巴瘤，病变位于右侧眼眶肌锥内间隙。11例为非霍奇金淋巴瘤，双侧眼眶发病1例，其余为单侧。12例中局限型7例，病变局限于眼球周围，弥漫型5例，表现为肌锥内外间隙弥漫软组织影，沿眶锥“铸形”生长。结论：淋巴瘤的CT表现具有一定的特征性，即眼眶内软组织包绕眼球生长，眼环无增厚及凹陷，是提示淋巴瘤的重要线索。但最后的诊断有赖于病理活检及免疫组化。
Abstract
Objective: This article explores how to diagnose lymphoma in the orbit by CT in order to improve the ability of diagnosing. Methods: In this paper, the CT features of orbital lymphoma in 12 cases proved by operating pathology were analyzed retrospectively. Results: In these 12 cases, only 1 is Hodgkin’s disease, whose pathological changes are in extraconal compartment, and the other 11 are non-Hodgkin’s lymphoma, in which merely one involved both eyes, and others on one side. Seven are of confined-type whose pathological changes exist around the eyes, and 5 are of diffused type, on whose picture there are shapes of soft-tissue in extraconal orbital compartment. Conclusion: Lymphoma has certain features on CT. The important clue of lymphoma is that the soft-tissue mass grows around the eye ring. But the final decision is made according to biopsy and immunohistochemistry.
关键词
淋巴瘤 /
眶肿瘤 /
体层摄影术 /
X线计算机
Key words
lymphoma /
orbital neoplasms /
tomography /
X-ray computed
吉六舟;李洪涛;孙国运;刘志刚;杨建林;孙世介;陈 涛.
眼眶淋巴瘤的CT诊断[J]. 中国临床医学影像杂志. 2006, 17(12): 673-675
JI Liu-zhou;LI Hong-tao;SUN Guo-yun;YANG Jian-lin;CHEN Tao;SUN Shi-jie;HUANG Ying-qiao.
CT diagnosis of orbital lymphoma[J]. Journal of China Clinic Medical Imaging. 2006, 17(12): 673-675
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