摘要
目的 探讨原发性睾丸淋巴瘤的超声诊断价值.方法 回顾性分析经病理证实的9例原发性睾丸淋巴瘤患者(7例患者单侧睾丸肿大伴有胀痛,2例患者双侧睾丸肿大伴胀痛)的超声声像图表现.结果 超声检查显示3例患者病灶位于左侧,4例患者病灶位于右侧,2例患者病灶位于双侧,肿瘤大小为2.8～5.5 cm;病灶均呈低回声,弥漫分布,占据大部分睾丸实质,彩色多普勒检查在病灶内部探及丰富的血流信号;8例超声诊断为睾丸恶性肿瘤,但未能作出睾丸淋巴瘤的诊断,1例误诊为睾丸炎症;7例患者经手术确诊,2例患者经超声引导穿刺活检确诊.结论 原发性睾丸淋巴瘤的临床及超声表现无特异性,临床诊断需综合分析,对疑似病例应行超声引导下穿刺活检明确诊断.
Objective To investigate the value of ultrasound in the diagnosis of primary testicular lymphoma (PTL). Methods The clinical manifestations and sonographic features of PTL in 9 patients were restrospectively analyzed. Results Seven patients had unilateral and two patients had bilateral testicular swelling and pain. The lesions were hypoechoic and diffuse occupying the most of the parenchyma on ultrasound. Rich blood flow signals were detected in the lesions. Eight lesions were diagnosed as malignant tumors but none was definitely interpreted as PTL and one lesion was misdiagnosed as testicular inflammation. Pathologic diagnosis of PTL was obtained on surgery in 7 patients, and 2 patients were diagnosed PTL by biopsy under the ultrasound guidance. Conclusions The clinical manifestations and sonographic features of PTL are non-specific, therefore ultrasound-guided biopsy is warranted in patients suspected as PTL.
出处
《中华医学超声杂志（电子版）》
2007年第4期212-213,共2页
Chinese Journal of Medical Ultrasound(Electronic Edition)
关键词
超声检查
睾丸肿瘤
淋巴瘤
Ultrasonography
Testicular neoplasm
Lymphoma
