颈部淋巴结窦组织细胞增生伴巨大淋巴结病的CT表现与鉴别诊断

目的分析颈部淋巴结窦组织细胞增生伴巨大淋巴结病（sinus histiocytosis with massive lymphadenopathy,SHML）的CT影像表现及相关临床表现,探讨该病的诊断和鉴别诊断。方法回顾性分析经临床与病理证实的7例颈部淋巴结SHML患者的临床和CT影像资料,男4例,女3例,年龄2-39岁,7例均行CT平扫及增强扫描。结果活检证实的13枚受累淋巴结的最长径范围在0.8-4.1 cm,平均2.1 cm。CT平扫密度均匀减低者10枚（76.9%）,增强扫描11枚呈多环状或半环状强化（84.6%）,9枚边缘清晰,4枚边界不清。结论当青少年男性颈部肿大淋巴结CT平扫密度...

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Bibliographic Details
Published in影像诊断与介入放射学 Vol. 26; no. 4; pp. 326 - 329
Main Author 李勤祥 潘爱珍 唐姗姗 肖妮 林景兴 祝叶
Format Journal Article
LanguageChinese
Published 佛山市第一人民医院医学影像科, 广东佛山,528000%佛山市第一人民医院病理科, 广东佛山,528000 2017
Subjects
体层摄影术,X线计算机
窦组织细胞增生伴巨大淋巴结病
颈部淋巴结病
窦组织细胞增生伴巨大淋巴结病
颈部淋巴结病
Tomography
体层摄影术,X线计算机
Cervical lymphadenopathy
X-ray computed
Sinus histiocytosis with massive lymphadenopathy
Online AccessGet full text
ISSN1005-8001
DOI10.3969/j.issn.1005-8001.2017.04.012

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Summary:目的分析颈部淋巴结窦组织细胞增生伴巨大淋巴结病（sinus histiocytosis with massive lymphadenopathy,SHML）的CT影像表现及相关临床表现,探讨该病的诊断和鉴别诊断。方法回顾性分析经临床与病理证实的7例颈部淋巴结SHML患者的临床和CT影像资料,男4例,女3例,年龄2-39岁,7例均行CT平扫及增强扫描。结果活检证实的13枚受累淋巴结的最长径范围在0.8-4.1 cm,平均2.1 cm。CT平扫密度均匀减低者10枚（76.9%）,增强扫描11枚呈多环状或半环状强化（84.6%）,9枚边缘清晰,4枚边界不清。结论当青少年男性颈部肿大淋巴结CT平扫密度均匀但增强呈多环或半环状强化时应想到SHML的可能,熟悉其CT表现有助于将其纳入鉴别诊断,结合临床、影像学及实验室检查有助于确诊。
Bibliography:Cervical lymphadenopathy; Sinus histiocytosis with massive lymphadenopathy; Tomography; X-ray computed
44-1391/R
Objective To investigate the CT manifestations of cervical sinus histiocytosis with massive lymphadenopathy（SHML）. Methods CT and clinical records of 7 patients（4 male, 3 female, age range： 2-39 years） with cervical SHML confirmed by histopathology and immunohistochemistry were reviewed. Results The 13 pathologically confirmed lymph nodes ranged from 0.8 cm to 4.1 cm with an average of 1.9 cm in maximum diameter on CT with homogeneous slightly low density（10/13, 76.9%）, lobular or semi-circular（11/13, 84.6）, well-defined（9） or ill-defined（4） margins. Conclusion The CT features of SHML are non-specific and require correlation with clinical information for diagnosis.
LI Qin-xiang,PAN Ai-zhen,TANG Shan-shan,XIAO Ni,LIN Jing-xing,ZHU Ye.（ Department of Radiology, The First Peopled Hospital of Foshan, Guangdong 528000, China）
ISSN:1005-8001
DOI:10.3969/j.issn.1005-8001.2017.04.012