淋巴管平滑肌瘤病的临床及CT诊断研究

任 莹;吴雪杨;陈丽英;郭启勇

中国临床医学影像杂志 ›› 2009, Vol. 20 ›› Issue (4) : 258-260.

中国临床医学影像杂志 ›› 2009, Vol. 20 ›› Issue (4) : 258-260.
论著

淋巴管平滑肌瘤病的临床及CT诊断研究

  • 任 莹1,吴雪杨2,陈丽英1,郭启勇1
作者信息 +

The clinical and CT diagnosis of lymphangioleiomyomatosis

  • REN Ying1, WU Xue-yang2, CHEN Li-ying1, GUO Qi-yong1
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摘要

目的:探讨淋巴管平滑肌瘤病的临床及CT影像特点,提高对该病的认识。材料与方法:回顾性分析6例淋巴管平滑肌瘤病患者的临床及胸、腹部CT影像资料,6例均行肺部及腹部CT扫描。结果:6例胸部CT均可见双肺内多发大小不等囊性透光区,有较薄囊壁。其中3例合并气胸;1例合并乳糜性胸腔积液;1例伴有多组纵隔淋巴结肿大。腹(盆)部CT检查中发现肾脏血管平滑肌瘤3例,其中2例为双肾受累并多发,1例同时合并肝脏血管平滑肌瘤,1例合并腹膜后血管平滑肌瘤;另见子宫阔韧带及腹膜后淋巴管平滑肌瘤1例;1例CT显示腹膜后多发淋巴结肿大。结论:淋巴管平滑肌瘤病具有特征性临床及影像学表现,对诊断该病具有重要意义。

Abstract

Objective: To investigate CT imaging features of lymphangioleiomyomatosis. Materials and Methods: CT imaging data of 6 patients diagnosed as lymphangioleiomyomatosis were studied retrospectively including imaging of both chest and abdomen. Results: Multiple thin-walled cysts of different size were seen throughout the lung fields in an even distribution with normal intervening lung parenchyma in all the patients. Pneumothorax coexisted in 3 cases. In 1 case, pleural effusion was detected which was proved as chylothorax. Lymphadenopathy could be seen in 1 case. Three cases of kidney angioleiomyolipoma was found in abdominal CT imaging, among which lesions were multiple and bilateral in 2 cases. In these 3 cases, liver angioleiomyolipoma was found in one case and retroperitoneal angioleiomyolipoma was found in another case. Lymphangioleiomyoma of uterine broad ligament and retroperitoneum was found in 1 case. CT showed retroperitoneal lymphadenopathy in 1 case. Conclusion: lymphangioleiomyomatosis is a disease with characteristic imaging features, which is of great help for its diagnosis.

关键词

淋巴管肌瘤病 / 体层摄影术 / 螺旋计算机

Key words

Lymphangiomyomatosis / Tomography / spiral computed

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导出引用
任 莹;吴雪杨;陈丽英;郭启勇. 淋巴管平滑肌瘤病的临床及CT诊断研究[J]. 中国临床医学影像杂志. 2009, 20(4): 258-260
REN Ying;WU Xue-yang;CHEN Li-ying;GUO Qi-yong. The clinical and CT diagnosis of lymphangioleiomyomatosis[J]. Journal of China Clinic Medical Imaging. 2009, 20(4): 258-260
中图分类号: R730.263    R733.4    R814.42   

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