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題 名 | Primary Lymphoma of Colon:Barium Enema and CT Findings=原發性大腸淋巴瘤之大腸鋇劑與電腦斷層影像 |
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作 者 | 吳美翰; 刁翠美; 周宜宏; 姜仁惠; 曾修山; 黃振義; 鄭慧正; 李潤川; 鄧木火; | 書刊名 | 中華放射線醫學雜誌 |
卷 期 | 22:2 1997.04[民86.04] |
頁 次 | 頁47-51 |
分類號 | 415.569 |
關鍵詞 | 大腸電腦斷層; 大腸腫瘤; 放射線攝影術; 淋巴瘤診斷; Colon CT; Colon neoplasms; Colon radiography; Lymphoma diagnosis; |
語 文 | 中文(Chinese) |
中文摘要 | 原發性大腸淋巴瘤極為罕見。在放射線文獻很少被提及。我們提出民國七十三年八十四年之間本院九位經病理確定為原發性大腸淋巴瘤且有術前診斷影像之病例。其年齡介於二十七與七十七歲之間,平均五十九點八歲。九位中有四位腫瘤在盲腸並涉及末端迴腸。另五位則分布在不同位置。七例電腦斷層影像中,局部腫瘤表現有五例:界限清楚腫瘤有四例,界限不清,周圍組織浸潤侵犯之腫瘤有一例。界限清楚腫瘤中可有腸壁環包浸潤現象 (三例):其中有二例併有�硎瑂P周圍腸壁相通現象,而以腸腔外界限清楚腫瘤表現有一例。大腸鋇劑造影共有七例,五例以局部腫瘤表現,其中腸腔內併腸腔外腫瘤表現 (二例),黏膜節結不規則(二例),另一例以管壁浸潤管腔外壓表現。有兩例在大腸鋇劑以多發性黏膜潰瘍與小息肉表現而在電腦斷層無法診斷大腸有何異常。所以我們提出除原有Marshak與O'Connel大腸鋇劑造影分類另外之淋巴瘤息肉與發炎性大腸型態之表現並且強調綜合大腸鋇劑對照電腦斷層可對原發性大腸淋巴瘤有較專一的診斷。 |
英文摘要 | Primary lymphoma of colon is rare in incidence and is mentioned only seldom in the radiological literature [1-7]. We reviewed the computed tomography (CT) and barium enema (BE) features of nine patients (aged 27 to 77 years, mean 59.8 years) with histologically proven primary colonic lymphoma diagnosed from Jan. 1984 to Dec. 1995 in our hospital. Four patients showed localized cecal tumor with the seven patients who received CT studies, five showed soft tissue mass. Four of the masses displayed well defined margins while one displayed ill-defined margins infiltrating to the adjacent organs. in the well-defined mass lesion group (n--4), one was extraluminal and the other three caused intestinal encasement. Two of them showed fistula formation. BE were performed in seven patients. Five patients showed soft tissue mass, of which two possessed endo-exoenteric mass; two possessed mucosal nodularity/irregularity; and one possessed mural infiltration /extrinsic compression to the colon. The other two patients receiving BE showed either numerous ulcerations or polypoid lesions, neither of which could be demonstrated on CT scans. Thus, in addition to the previously published patterns of colonic lymphoma by Marshak's & O'Connell's et al. [8,9], we found more complete radiological spectra of primary colonic lymphoma. These included lymphomatous polyposis and inflammatory bowel patterns in the BE and negative findings in the CT scans. We also concluded that CT combined with BE findings can result in more accurate dignosis of primary colonic lymphoma. |
本系統中英文摘要資訊取自各篇刊載內容。