摘要
目的探讨皮肤淋巴瘤(CL)的^(18)F-FDG PET/CT特点,加深对该病的认识。方法回顾性分析14例经手术或活检病理证实,出现皮肤损害,治疗前行^(18)F-FDG PET/CT检查的淋巴瘤患者资料。其中男性9例,女性5例,年龄15~73岁,中位年龄51.5岁。NK/T细胞淋巴瘤5例,外周T细胞淋巴瘤2例,皮下脂膜炎样T细胞淋巴瘤1例,渐变性大细胞淋巴瘤1例,弥漫大B细胞淋巴瘤3例,套细胞淋巴瘤1例,边缘B细胞淋巴瘤1例。结果14例患者皮肤病灶均为多发,主要分布于面部、躯干及四肢皮下,CT上皮损形态以絮状、斑片状、结节状、团块状为主,部分病灶边界不清,部分伴有皮肤增厚,所有皮损或皮下结节均不伴钙化。所有患者皮损部位均伴有放射性摄取不同程度增高,SUV_(max) 5.47~26.76,平均值12.72±7.26。除皮肤病灶外,另有不同部位淋巴结受累者13例,脾脏受累者6例,骨骼受累者7例,副鼻窦及口鼻腔、肺部受累者各5例,甲状腺、乳腺、心包、肝脏、胰腺、肾上腺、肾脏、胃肠道受累者2各例,附件及睾丸受累者各1例,胸、腹膜受累者6例。结论^(18)F-FDG PET/CT显像对皮肤淋巴瘤有重要的诊断价值。
Objective To explore the characteristics of ^(18)F-FDG PET/CT in cutaneous lymphoma(CL),so as to deepen the understanding of this disease.Methods Retrospective analysis was performed on 14 cases of lymphoma diagnosed by ^(18)F-FDG PET/CT before treatment and confirmed by surgery or biopsy pathology and with skin lesions.There were 9 males and 5 females,aged 15~73 years,with a median age of 51.5 years.There were 5 cases of NK/T cell lymphoma,2 cases of peripheral T cell lymphoma,1 case of subcutaneous lipid-inflammation-like T cell lymphoma,1 case of progressive large cell lymphoma,3 cases of diffuse large B cell lymphoma,1 case of mantle cell lymphoma,and 1 case of marginal B cell lymphoma.Results All the 14 patients had multiple skin lesions,mainly distributed under the skin of the face,trunk and limbs.The skin lesions on CT were mainly flocculent,patchy,nodular and lumpy.Some lesions had unclear boundary,some were accompanied by skin thickening,and all the skin lesions or subcutaneous nodules were not accompanied by calcification.All patients were accompanied by different degrees of increased radioactive uptake at the lesion sites,SUV_(max) 5.47~26.76,with an average value of 12.72±7.26.Except the skin lesions,there are different parts of the lymph node involvement in 13 cases,splenic involvement in 6 cases,bone involvement in 7 cases,paranasal sinus and nasal cavity,lung involvement each in 5 cases,thyroid,breast,pericardium,liver,pancreas,adrenal glands,kidney,gastrointestinal tract involvement each in 2 cases,accessories and testicular affected each 1 case,pleural and peritoneal involvement in 6 cases.Conclusion ^(18)F-FDG PET/CT imaging has important diagnostic value in cutaneous lymphoma.
作者
刘昕
汪世存
张依凡
倪明
潘博
展凤麟
石琴
LIU Xin;WANG Shi-cun;ZHANG Yi-fan;NI Ming;PAN Bo;ZHAN Feng-lin;SHI Qin(Department of PET/CT Center,the First Affiliated Hospital of USTC,Hefei 230001,Anhui Province,China)
出处
《中国CT和MRI杂志》
2022年第6期170-173,共4页
Chinese Journal of CT and MRI
基金
安徽省自然科学基金面上项目(1808085 MH254)。
