The CT and MRI diagnosis of primary small intestinal lymphoma
10.3760/cma.j.issn.1008-6706.2016.07.020
- VernacularTitle:原发性小肠淋巴瘤的 CT 和 MRI诊断
- Author:
Juan WANG
;
Zhiping ZHU
;
Zhenyu LI
- Publication Type:Journal Article
- Keywords:
Lymphoma;
X-ray computed,tomography
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(7):1034-1035,1036
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the CT and MRI manifestations and diagnosis of primary small intestinal lymphoma( PSIL) .Methods The CT or MRI in 28 cases of PSIL confirmed by surgical pathology were retrospectively analyzed.Results 28 PSIL patients were confirmed to be non-hodgkin's lymphoma,17 cases were found in terminal ileum or ileocecal junction,11 cases were found in jejunum,near and the middle ileum.All had different degree of bowel wall thickening;CT scan displayed soft tissue density,contrast enhanced CT images demonstrated mild-to-moderate enhancement,uniform enhancement;PSIL was manifested as thick intestinal wall or a mass with slightly hypointensity signal on T1 weighted image,hyperintensity on T2 weighted images,hyperintensity on DWI images and mild to moderate homogeneous enhancement on contrast enhanced T1 weighted images.12 cases of aneurismal dilatation;manifestations were irregular round thickening of intestinal wall with infiltration with expansive;10 cases of infiltrating type,mainly for bowel wall thickening;6 cases of polypoid mass type,density of soft tissue mass,stenosis lumen.Conclusion CT and MRI has obvious advantages in the diagnosis of PSIL, plays an important role in the diagnosis and differential diagnosis.
