Diagnostic Value of Ultrasonography for Soft Tissue Lymphoma_West China Medical Journal

Authors：

 JingWenli ,  PengYulan , WangDongmei

Department of Ultrasonography, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

PengYulan, Email: yulanpeng@163.com

Keywords：

Soft tissue tumor; Lymphoma; Ultrasound; Pathology

DOI：

10.7507/1002-0179.201600138

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To analyze the characteristics of ultrasound images for soft tissue lymphoma and discuss the diagnostic value of ultrasonography. Methods Between January 2008 and August 2014, the ultrasound images of 25 soft tissue lymphomas confirmed by histopathology and immunohistochemistry were retrospectively analyzed. Results Of the total 25 patients with soft tissue lymphoma (histological types of non-Hodgkin's lymphoma), there were 10 females and 15 males. Among them, 14 had diffuse large B-cell lymphoma (56%, 14/25). There was a primary lymphoma located in the lower leg, and all the rest 24 cases were secondary lymphoma. Of the 24 secondary cases, 19 presented solitary lesion located respectively in limbs (8 cases), trunk (7 cases) and head & neck (4 cases); the other 5 cases presented multiple lesions located respectively in limbs and trunk. Among all the lesions, 12 were located in muscular layer, presenting weak echo mass with irregular shape growing along the direction of muscular fibers; and 13 were located in skin and subcutaneous soft tissue, among which 4 cases showed diffused thickening of skin and subcutaneous layer with irregular hypoechoic areas on ultrasound examination, and 9 cases showed nodular or hypoechoic irregular shaped lesion, iso-hyperechoic, with heterogeneous internal echogenecity having unclear boundary. Conclusion Understanding the characteristics of soft tissue lymphoma on ultrasound images will help to improve diagnostic accuracy.

Citation： JingWenli, PengYulan, WangDongmei. Diagnostic Value of Ultrasonography for Soft Tissue Lymphoma. West China Medical Journal, 2016, 31(3): 523-526. doi: 10.7507/1002-0179.201600138 Copy

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10.	Lee VS, Martinez S, Coleman RE. Primary muscle lymphoma:clinical and imaging findings[J]. Radiology, 1997, 203(1):237-244.
11.	張靜漪, 邱邐, Parajuly SS. 結節性筋膜炎的組織病理學分型及其超聲表現[J]. 中國醫學影像技術, 2011, 27(4):818-821.
12.	劉菊先, 彭玉蘭, 向波, 等. 神經鞘瘤的超聲表現特征及其診斷價值[J]. 四川大學學報:醫學版, 2008, 39(5):865-867.
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14.	唐遠姣, 冷錢英, Sundar PS, 等. 滑膜肉瘤的二維及彩色多普勒超聲特征[J]. 中國醫學影像技術, 2014, 30(2):265-268.
15.	Hampson FA, Shaw AS. Response assessment in lymphoma[J]. Clin Radiol, 2008, 63(2):125-135.

1. 彭衛軍, 朱增雄. 淋巴瘤影像診斷學[M]. 上海:上海科學技術出版社, 2008:243-254.
2. Chun CW, Jee WH, Park HJ, et al. MRI features of skeletal muscle lymphoma[J]. AJR Am J Roentgenol, 2010, 195(6):1355-1360.
3. Bozas G, Anagnostou D, Tassidou A, et al. Extranodal non-Hodgkin's lymphoma presenting as an abdominal wall mass. A case report and review of the literature[J]. Leuk Lymphoma, 2006, 47(2):329-332.
4. 楊靜, 張芬芬, 房惠瓊, 等. 原發性軟組織淋巴瘤7例及臨床病理特征[J]. 中山大學學報:醫學科學版, 2010, 31(5):720-722.
5. 李學農, 丁彥青, 周軍, 等. 軟組織惡性淋巴瘤4例病理學觀察及基因診斷[J]. 診斷病理學雜志, 2001, 8(2):71-73.
6. O'neill JK, Devaraj V, Silver DA, et al. Extranodal lymphomas presenting as soft tissue sarcomas to a sarcoma service over a two-year period[J]. J Plast Reconstr Aesthet Surg, 2007, 60(6):646-654.
7. 韓春燕, 李洪江, 博愛燕, 等. MRI診斷軟組織淋巴瘤價值[J]. 中華實用診斷與治療雜志, 2012, 26(1):59-61.
8. Suresh S, Saifuddin A, O'donnell P. Lymphoma presenting as a musculoskeletal soft tissue mass:MRI findings in 24 cases[J]. Eur Radiol, 2008, 18(11):2628-2634.
9. 周良平, 彭衛軍, 楊文濤, 等. 原發性骨骼肌非霍奇金淋巴瘤的影像學表現[J]. 中華放射學雜志, 2006, 40(12):1303-1306.
10. Lee VS, Martinez S, Coleman RE. Primary muscle lymphoma:clinical and imaging findings[J]. Radiology, 1997, 203(1):237-244.
11. 張靜漪, 邱邐, Parajuly SS. 結節性筋膜炎的組織病理學分型及其超聲表現[J]. 中國醫學影像技術, 2011, 27(4):818-821.
12. 劉菊先, 彭玉蘭, 向波, 等. 神經鞘瘤的超聲表現特征及其診斷價值[J]. 四川大學學報:醫學版, 2008, 39(5):865-867.
13. 鐘曉緋, 邱邐, 敬文莉,等. 韌帶樣型纖維瘤病的超聲表現與病理特征中國醫學影像技術, 2013, 29(1):105-109.
14. 唐遠姣, 冷錢英, Sundar PS, 等. 滑膜肉瘤的二維及彩色多普勒超聲特征[J]. 中國醫學影像技術, 2014, 30(2):265-268.
15. Hampson FA, Shaw AS. Response assessment in lymphoma[J]. Clin Radiol, 2008, 63(2):125-135.

West China Medical Journal

Diagnostic Value of Ultrasonography for Soft Tissue Lymphoma

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