研究动态
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肺结节性淋巴样增生的临床和影像学特征。

Clinical and Imaging Features of Pulmonary Nodular Lymphoid Hyperplasia.

发表日期:2024 Aug 12
作者: Dong-Lei Nie, Yan-Hong Shi, Xin-Min Li, Xiao-Jiang Wang, Bao-Li Han, Guo-Fu Zhang
来源: JOURNAL OF THORACIC IMAGING

摘要:

目的探讨PNLH的临床、影像学特征及其与病理特征的关系。回顾性分析我科确诊的11例PNLH患者。提取并分析临床和影像学特征,并讨论影像学和病理学特征之间的关系。11例PNLH患者中,5例是偶然发现的,4例有胸部症状。实验室检查显示无特异性,病变位于胸膜下方,邻近胸膜凹陷。大多数病变是实性的,有一些显示出毛刺或毛刺突起的迹象。在某些情况下,低密度区域和小泡是可见的。增强扫描呈明显强化,但多数无淋巴结肿大,无胸腔积液。PNLH临床表现非特异性,影像学特征与肺部恶性肿瘤重叠,诊断依赖病理检查。版权所有© 2024 Wolters Kluwer Health, Inc. 保留所有权利。
To investigate the clinical and radiographic features of PNLH and the relationship with pathologic features.A total of 11 patients in whom PNLH was confirmed in our department were retrospectively studied. The clinical and radiographic features were extracted and analyzed, and we also discussed the relationship between radiologic and pathologic features.Of the 11 patients with PNLH, 5 were discovered incidentally, while 4 presented with chest symptoms. Laboratory tests showed no specificity and the lesions were located under the pleura with an adjacent pleural indentation. Most lesions were solid, with some showing signs of spiculation or spiculate protuberance. In some cases, hypodense areas and vocules were visible. The enhanced scan showed marked enhancement, but most had no lymph node enlargement, and there was no pleural effusion.The clinical manifestations of PNLH are nonspecific and the imaging features overlap with those of malignant lung tumors, and the diagnosis depends on pathologic examination.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.