Application Value and Tips of Ultrasonography in Diagnosis of Intestinal Lymphoma
MI Jia1,2, MIAO Liying1, ZHAO Bo1, GE Huiyu1
1. Department of Ultrasound, Peking University Third Hospital, Beijing 100191, China;
2. Department of Special Examination, Shandong Provincial Third Hospital, Jinan Shandong 250031, China
Abstract：Objective To explore the value and tips of ultrasonography in the diagnosis of intestinal lymphoma. Methods The
pathological types, lesion sites and ultrasonic manifestations of 18 cases of intestinal lymphoma confirmed by surgery or endoscopic
pathology during June 2013 to April 2020 were retrospectively analyzed. The differences of thickness of the intestinal wall at the
lesion site measured by ultrasound and CT were compared. Results All of the 18 cases were non-Hodgkin’s lymphoma in pathology,
including diffuse large B-cell lymphoma (n=14), mantle cell lymphoma (n=2), monomorphic epithelial intestinal T-cell lymphoma
(n=1) and Burkitt lymphoma (n=1). There were 15 primary cases and 3 secondary cases. The involved locations included the small
intestine (n=5), ileocecal region (n=1), colon (n=11) and rectum (n=1). The ultrasonic types included intestinal wall thickening type
(n=8), intestinal mass type (n=7), cystic lesion type (n=1) and non-specific signs type (n=2). Intussusception, perforation, dilatation
and other concurrent were seen, most of the cases were accompanied with abdominal or retroperitoneal lymphadenopathy. The mean
thickness of intestinal wall at the lesion site measured by ultrasound was (1.13±0.69) cm, which was less than that measured by CT
(2.21±1.06) cm (P<0.05). Conclusion The ultrasonic manifestations of intestinal lymphoma have certain characteristics. The lesion
location, extent and complications of intestinal lymphoma can be accurately described by ultrasonography, which plays an important
role in the diagnosis of intestinal lymphoma. Comprehensive scanning and step-by-step compression technique is the key point in
evaluating the lesions of intestinal lymphoma when using ultrasonography.
米加1,2，苗立英1，赵博1，葛辉玉1. 超声在肠道淋巴瘤诊断中的应用价值和技巧[J]. 中国医疗设备, 2022, 37(3): 67-70.
MI Jia1,2, MIAO Liying1, ZHAO Bo1, GE Huiyu1. Application Value and Tips of Ultrasonography in Diagnosis of Intestinal Lymphoma. China Medical Devices, 2022, 37(3): 67-70.
