软组织原发性淋巴瘤2例MRI表现及病理学分析
MR imaging and pathological analysis of primary lymphoma in soft tissue
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摘要: 目的:探讨软组织原发性淋巴瘤的MRI表现及临床病理学特点。方法:对2例软组织原发性淋巴瘤的临床病理学资料、MRI影像表现进行回顾分析,并复习文献。结果:2例软组织原发性淋巴瘤均位于下肢,分别呈卵圆形和不规则形,病灶直径7.0~12.0 cm。在T1WI呈等信号或略低信号,T2WI呈高信号表现,增强扫描呈轻到中度强化。结论:淋巴瘤原发于软组织者罕见,MRI表现肿瘤信号均匀,囊性变及坏死少见,周围肌间筋膜存在脂肪间隙是其特征。Abstract: Objective: To explore the MRI manifestations and clinicopathologic characteristics of the primary lymphoma in the soft tissue. Methods: The clinicopathological data and MRI manifestations of two cases of primary tissue lymphoma were analyzed retrospectively,and the literature was reviewed. Results: The 2 cases of primary soft tissue lymphoma were both located in the lower extremity. One was well demarcated and the other was ill-defined. The dimension of the tumors ranged from 7 to 12 cm,with intense or slightly low signal intensity on T1-weighted images and high signal intensity on T2-weighted images. The tumors were mild to moderate enhanced after contrast-enhanced scans. Conclusions: Primary lymphoma in the soft tissue is rarely seen. The MRI manifest even signals,and cystis degeneration and necrosis are seldom observed; the existence of fatty clearance between muscle fascias is one of its characteristics.