Multilayer spiral CT findings of pulmonary mucosa-associated lymphoid tissue lymphoma

doi:10.3877/cma.j.issn.1674-6902.2019.02.005

Abstract

Abstract:

Objective

To analyze the characteristics of multilayer spiral CT (MSCT) images of pulmonary mucosa-associated lymphoid tissue (MALT) lymphoma for improving the diagnostic accuracy.

Methods

The MSCT findings of 16 patients with lung MALT lymphoma pathologically confirmed were analyzed retrospectively.

Results

Among the 16 patients, 6 patients suffered from single lung MALT lymphoma and 10 from multiple ones. According to the MSCT morphology, MALT lymphomas were divided into three types: nodular/mass pattern in 7 cases, exudate/consolidation pattern in 6 cases and mixed pattern in 3 cases. Fourteen cases showed thickened vascular bronchial bundle around the lesions, and 8 cases showed calcification within the lesions. And 11 cases had air bronchial sign, including 9 cases of bronchiectasis. Four cases of nodular/mass pattern showed drilled-like growth. Among the 16 patients, 13 patients received enhanced scanning, including 11 patients receiving uniform enhancement, and as a result, 11 patients showed angiogram sign. Three cases had enlarged mediastinal lymph nodes and 8 cases had pleural effusion.

Conclusion

The MSCT of lung MALT lymphoma has certain characteristics, therefore, the lung MALT lymphoma can be diagnosed combined with the clinical manifestation of inert growth.

Key words: Lymphoma, Lung mucosa-associated lymphoid tissue, Tomography, X-ray computed, Multilayer spiral CT

Jia Chen, Li Wen, Mingfu Gong, Liu Yang. Multilayer spiral CT findings of pulmonary mucosa-associated lymphoid tissue lymphoma[J]. Chinese Journal of Lung Diseases(Electronic Edition), 2019, 12(02): 156-159.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhfbjbzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6902.2019.02.005

https://zhfbjbzz.cma-cmc.com.cn/EN/Y2019/V12/I02/156

Figures/Tables 5

References 15

1	Vardiman JW. The World Health Organization (WHO) classification of tumors of the hematopoietic and lymphoid tissues: an overview with emphasis on the myeloid neoplasms[J]. Chem Biol Interact, 2010, 184(1-2):16-20.
2	Cadranel J, Wislez M, Antoine M. Primary pulmonary lymphoma[J]. Eur Respir J, 2002, 20:750-762.
3	李天女，黄庆娟，丁重阳，等. 肺黏膜相关淋巴组织型淋巴瘤的影像表现[J]. 中华放射学杂志，2011, 45(2):149-152.
4	Zhang WD, Guan YB, Li CX, et al. Pulmonary mucosa-associated lymphoid tissue lymphoma: computed tomography and 18 F fluorodeoxyglucose-positron emission tomography computed tomography imaging findings and follow-up[J]. J Comput Assist Tomogr, 2011, 35(5):608-613.
5	陈淮，曾庆思，伍筱梅，等. 肺黏膜相关淋巴组织淋巴瘤的CT及PET-CT表现[J]. 临床放射学杂志，2015, 34(4):548-551.
6	Kawashima T, Nishimura H, Akiyama H, et al. Primary pulmonary mucosa-associated lymphoid tissue lymphoma combined with idiopathic thrombocytopenic purpura and amyloidomain the lung[J]. J Nippon Med Sch, 2006, 72:370-374.
7	陆杨，杨春燕，尤小芳. 肺黏膜相关淋巴组织淋巴瘤MSCT诊断价值[J]. 临床放射学杂志，2017, 36(5):664-667.
8	张艳，余建群，朱洪基，等. 肺黏膜相关淋巴组织淋巴瘤的CT和临床表现及其病理学基础[J]. 放射学实践，2016, 31(8):734-738.
9	Apter S, Avigdor A, Gayer G, et al. Calcification in lymphoma occurring before therapy: CT features and clinical correlation[J]. AJR, 2002, 178(4):935-938.
10	马骏，朱晓华，孙希文，等. 肺黏膜相关淋巴组织型淋巴瘤的CT表现及诊断价值[J]. 临床放射学杂志，2012, 31(3):352-355.
11	周卫平，昝星有，陈宏伟，等. 肺黏膜相关淋巴组织型淋巴瘤的CT表现分析[J]. 临床放射学杂志，2013, 32(6):811-815.
12	朱小云，单飞，邢伟，等. 肺黏膜相关淋巴组织淋巴瘤的CT表现[J]. 临床放射学杂志，2014, 33(3):456-459.
13	吴伟本，俞同福. 肺黏膜相关淋巴组织淋巴瘤的影像表现[J]. 实用放射学杂志，2014, 30(4):620-622.
14	隋昕，宋伟，金征宇，等. 肺黏膜相关淋巴组织淋巴瘤的临床与影像表现[J]. 中国医学科学院学报，2012, 34(1):41-45.
15	张卫东，关玉宝，李传行，等. 肺黏膜相关淋巴组织淋巴瘤的CT诊断[J]. 中华放射学杂志，2010, 44(12):1294-1296.

[1]	Dan Han, Ting Wang, Huan Xiao, Lirong Zhu, Jingyu Chen, Yi Tang. Diagnostic value of contrast enhanced ultrasound versus contrast enhanced computed tomography in benign and malignant liver lesions in children [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(09): 939-944.
[2]	Heng Lyu, Licong Dong, Haiqin Xie, Zhuofei Zhao, Li Liu, Desheng Sun. CT-ultrasound comparison for evaluating missed diagnosis of focal liver lesions by ultrasound: a single-center cross-sectional quality control survey [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(07): 712-716.
[3]	Yanjuan Bao, Xiaohong Yang, Xinghai Yang, Sheng Zhao, Fan Yang, Shengbao Pan, Xiaoyan Zhang. Ultrasound combined with magnetic resonance imaging and computed tomography for diagnosis of retroperitoneal fetus-in-fetu [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(03): 265-271.
[4]	Xiaoyan Dong, Qi Zhao, Jun Tang, Li Zhang, Xiaoyan Yang, Jiao Li. Clinical characteristics of neonates infected with the Omicron variant of severe acute respiratory syndrome coronavirus 2 [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(05): 595-603.
[5]	Yujing Li, Qiyi Chen, Ruming Xie, Budong Chen. Prognostic study of acquired immune deficiency syndrome-related primary central nervous system lymphoma [J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2023, 17(03): 200-208.
[6]	Kexin Wang, Shengyou Ge, Lin Wang, Jieying Li, Kai Song, Wei Shang. Ten cases of Stafne bone cavity: From image analysis to diagnosis and treatment [J]. Chinese Journal of Stomatological Research(Electronic Edition), 2023, 17(05): 353-358.
[7]	Donghui Guo, Yanning Ma, Wen Qin, Xian Wang, Zuolin Jin, Jie Gao. Three-dimensional age-related changes of facial soft tissue in non-orthodontic population [J]. Chinese Journal of Stomatological Research(Electronic Edition), 2023, 17(04): 279-284.
[8]	Xiaoyan Wang, You Xiao, Ge Xiao, Zhenquan Wang. CT characteristics and risk factors of lung metastasis in elderly patients with colorectal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(05): 506-509.
[9]	Shuo Chen, Feng Chen, Fei Cheng, Jie Xiang. Pancreas infarction after liver transplantation for glycogen storage disease type Ⅰ complicated with pancreatitis: a case report [J]. Chinese Journal of Transplantation(Electronic Edition), 2023, 17(05): 300-302.
[10]	Tiantian Miao, Cuomao Lazhou, Meizhu Hou. 5 cases of pulmonary lymphangileiomyomatosis and literature review [J]. Chinese Journal of Lung Diseases(Electronic Edition), 2023, 16(03): 340-345.
[11]	Mingyue Lin, Qi Zhou, Xin Liu, Shen Qu, Kaichuan Chen, Xiao Lyn, Wenting Han, Yanlong Bi. Clinical application of intraoperative optical coherence tomography-assisted Berger′s space vitrectomy [J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2023, 13(04): 199-204.
[12]	Zhuoting Jiang, Yan Gao, Chunhui Li. Research progress on the application of coherent light tomography in preoperative screening of corneal refractive surgery [J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2023, 13(04): 247-251.
[13]	Zhonghua Yang, Xiaohan Ma, Lei Diao, Jing Hu, Xi Chen. Diagnostic value of double-balloon enteroscopy in patients with negative computed tomography enterography results [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 475-479.
[14]	Yuxian Wu, Yayuan Feng, Lei Huo, Ningyang Jia, Juan Zhang. Study on the diagnostic value of imaging in primary hepatic lymphoma [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(05): 349-353.
[15]	Liye Liu, Defang Zhao. Correlations between serum SOCS3 and LXRαlevels and CT imaging features in patients with non-alcoholic fatty liver disease [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(04): 211-215.

Please choose a citation manager

Content to export