淋巴瘤累及胃结肠韧带的CT表现

doi:10.13418/j.issn.1001-165x.2023.1.04

Abstract

Abstract: Objective　To study the CT features of non-Hodgkin’s lymphoma (NHL) involvement of gastrocolic ligament (GCL) and its anatomic basis. Methods CT images of 26 patients with GCL involvement by the HNL were analyzed retrospectively. All cases were proved by pathology. Emphasis was placed on CT findings of the GCL. Results The main manifestation of GCL involvement was enlargement of lymph nodes in GLC. The enlarged lymph nodes were scattered and no lymph node fusion was observed. The enlarged lymph nodes showed uniform enhancement in 25 cases, and uniform enhancement combined with annular enhancement in 1 case. GCL thickened with local caked sign and peritoneal fluid collection in 2 cases. Conclusions Familiarity with the anatomical features of GCL is helpful for the CT diagnosis of NHL involving GCL.

Key words: Non-Hodgkin’s lymphoma, 　Gastrocolic ligament, 　Tomography, X-ray computed

CLC Number:

R816.5

Wu Hang, Zhou Taohu, Li Yubiao, Huang Wenjun, Ding Ning, Dong Xiaohan, Dong Peng. CT features of NHL involvement of gastrocolic ligament[J]. Chinese Journal of Clinical Anatomy, 2023, 41(1): 20-22.

References 22

[1]	李小秋, 李甘地, 高子芬, 等. 中国淋巴瘤亚型分布: 国内多中心性病例10002例分析[J]. 诊断学理论与实践, 2012, 11(2): 111-115. DOI: 10.3969/j.issn.1671-2870.2012.02.006.
[2]	郑璇, 雷志毅, 王玥瑶, 等. 腹部非霍奇金淋巴瘤CT增强表现与病理分级关系的探讨[J]. 临床放射学杂志, 2017, 36(3): 360-363. DOI: 10.13437/j.cnki.jcr.2017.03.020.
[3]	吴应行, 杨真露, 张道恩, 等. 7例肝脏原发性淋巴瘤的MSCT表现[J]. 临床放射学杂志, 2019, 38(9): 1667-1670. DOI: 10.13437/j.cnki.jcr.2019.09.021.
[4]	Kulkarni NM, Pinho DF, Narayanan S, et al. Imaging for oncologic response assessment in lymphoma[J]. Am J Roentgenol, 2017, 208(1): 18-31. DOI: 10.2214/AJR.16.16180.
[5]	李媛, 杨志刚, 闵鹏秋, 等. 恶性淋巴瘤累及腹腔、腹膜后淋巴结的多层螺旋CT强化特征[J]. 中国医学影像技术, 2005, 21(2): 285-288. DOI: 10.3321/j.issn:1003-3289.2005.02.035.
[6]	Kebede AA, Bekele F, Assefa G. Abdominal lymphoma: imaging work up challenges and recommendations n resource limited setup[J]. Ethiop Med J, 2014, 52(4): 197-206. PMID: 26410993.
[7]	Neville A, Herts BR. CT characteristics of primary retroperitoneal neoplasms[J]. Crit Rev Comput Tomogr, 2004, 45(4): 247-270. PMID: 15554383.
[8]	Mota MMS, Bezerra ROF, Garcia MRT. Practical approach to primary retroperitoneal masses in adults[J]. Radiol Bras, 2018, 51(6): 391-400. DOI: 10.1590/0100-3984.2017.0179.
[9]	管玥, 丁娜, 杨春波, 等. 进展期胃癌侵犯胃结肠韧带的MSCT表现[J]. 临床放射学杂志, 2014, 33(7): 1027-1030. DOI: 10.13437/j.cnki.jcr.2014.07.016.
[10]	金航, 闵鹏秋, 曾蒙苏, 等. 成年国人大网膜多层螺旋CT应用解剖学研究[J]. 解剖学报, 2006, 37(6): 695-697. DOI: 10.16098/j.jssn.0529-1356.2006.06.019.
[11]	赵爽, 宋彬, 黄子星. 腹膜反折结构的影像解剖及疾病播散途径[J]. 中国普外基础与临床杂志, 2021, 28(6): 811-815. DOI: 10.7507/1007-9424.202104066.
[12]	丁宁, 任安利, 翁爱婷, 等. 起源自小肠系膜胃肠道外间质瘤的CT表现[J]. 临床放射学杂志, 2021, 40(4): 742-745. DOI: 10.13437/j.cnki.jcr.2021.04.026.
[13]	Liebermann-Meffert D. The greater omentum. Anatomy, embryology, and surgical applications[J]. Surg Clin North Am, 2000, 80(1): 275-293. DOI: 10.1016/s0039-6109(05)70406-0.
[14]	Deng Y, Huang S, Huang M, et al. Gastrocolic ligament lymph?node dissection may increase the incidence of delayed gastric emptying after colon cancer surgery with D3 lymphadenectomy[J]. Surg Today, 2021, 51(6): 897-905. DOI: 10.1007/s00595-020-02200-6.
[15]	Morón FE, Szklaruk J. Learning the nodal stations in the abdomen[J]. Br J Radiol, 2007, 80(958): 841-848. DOI: 10.1259/bjr/64292252.
[16]	Zhang S, Chen M, Li CM, et al. Differentiation of lymphoma presenting as retroperitoneal mass and retroperitoneal fibrosis: evaluation with multidetector-row computed tomography[J]. Chin Med J, 2017, 130(6): 691-697. DOI: 10.4103/0366-6999.201606.
[17]	董鹏, 王滨, 李进, 等. 淋巴瘤累及小肠系膜的螺旋CT特征探讨[J]. 临床放射学杂志, 2008, 27(10): 1335-1337. DOI: 10.13437/j.cnki.jcr.2008.10.023.
[18]	Hagtvedt T, Aal?kken TM, Smith HJ, et al. Enhancement characteristics of lymphomatous lymph nodes of the neck[J]. Acta Radiol, 2010, 51(5): 555-562. DOI: 10.3109/02841851003698198.
[19]	Dong P, Chen JJ, Wang XZ, et al. Intraperitoneal tuberculous abscess: computed tomography features[J]. World J Radiol, 2015, 7(9): 286-293. DOI: 10.4329/wjr.v7.i9.286.
[20]	Jin H，Min PQ. Computed tomography of gastrocolic ligament: involvement in malignant tumors of the stomach[J]. Abdom Imaging, 2007, 32(1): 59-65. DOI: 10.1007/s00261-006-9000-8.
[21]	杨玲, 胡春洪, 郭亮. 腹盆腔恶性淋巴瘤的少见CT表现[J]. 临床放射学杂志,2009, 28(11): 1489-1492. DOI: 10.13437/j.cnki.jcr. 2009. 11.021.
[22]	卢春燕, 闵鹏秋, 杨志刚, 等. 结核性腹膜炎的螺旋CT特征探讨[J]. 放射学实践, 2004,19(5): 344-347. DOI: 10.13609/j.cnki.1000-0313. 2004. 05.010.

CT features of NHL involvement of gastrocolic ligament

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References 22

Related Articles 9

Metrics

Comments

Recommended 0

[1]	Gao Jun, Li Yubiao, Wu Hang, Ge Yanming, Li Yanran, Dong Peng. CT characteristics and anatomical basis of lymphoma with solitary mass in retroperitoneal space [J]. Chinese Journal of Clinical Anatomy, 2023, 41(6): 662-666.
[2]	He Xiangfa, Qiu Yinru, Wang Ru, Ye Lili, Liang Ming, Pang Yu, Pan Wei, Liu Sirun . Study of accessory fissure of human liver based on CT images [J]. Chinese Journal of Clinical Anatomy, 2023, 41(1): 23-27.
[3]	Zhang Peng, Chen Xin, Zhang Lan, Lin Yao, Lv Jianbo, Zeng Xinyu, Wang Zheng, Li Xin, Jin Yao, Tao Kaixiong. Anatomy of the inferior mesenteric artery evaluated by three-dimensional CT angiography before radical resection of rectal cancer [J]. Chinese Journal of Clinical Anatomy, 2022, 40(5): 530-535.
[4]	Shen Jiayi, Lv Lingchun, ChenJun, Zhao Yanan, Lu Chenying, Wei Tiemin. Imaging anatomic characteristics of renal artery in middle-old aged people from southwest Zhejiang province [J]. Chinese Journal of Clinical Anatomy, 2021, 39(5): 546-551.
[5]	SUN Feng-tao, ZHANG Hou-ning, YU lu, SHENG Jia-xi, FU Yu. Anatomic observation of accessory renal artery by 256-slice spiral CT imaging [J]. Chinese Journal of Clinical Anatomy, 2020, 38(5): 554-558.
[6]	WANG Wen-Juan, DING Na, YANG Chun-Bei, CHEN Hua-Cheng, GAO Qi-Min, DONG Feng. CT features of transverse mesocolon involvement in colonic carcinoma and the anatomic basis [J]. Chinese Journal Of Clinical Anatomy, 2013, 31(4): 427-429.
[7]	LUO Chao-Jun, ZHANG Shui-Xin, LIANG Zhi-Gang, ZHANG 　Ying, LUO Hai-Ying, JIN Gao-Sheng. Role of CT and MRI on preoperative evaluation of hepatic hilum cholangiocarcinoma [J]. Chinese Journal Of Clinical Anatomy, 2011, 29(3): 291-295.
[8]	PANG Guo-Dong, LIU 　Cheng, LIU Hua-Jing, DIAO 　Fang, WANG Ti-Meng, RUI 　Jun. Application of CT virtual endoscopy in analysis of variations of hepatic portal vein [J]. Chinese Journal Of Clinical Anatomy, 2010, 28(6): 647-.
[9]	XIN Shun-Bao, MA Gui-Feng, CUI 　Hui, XU 　Min, DONG 　Feng. Anatomic basis and CT image features of transverse mesocolon involvement by pancreatic carcinoma [J]. Chinese Journal Of Clinical Anatomy, 2010, 28(4): 413-.