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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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

1.	彭卫军, 朱增雄. 淋巴瘤影像诊断学[M]. 上海:上海科学技术出版社, 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.	杨静, 张芬芬, 房惠琼, 等. 原发性软组织淋巴瘤7例及临床病理特征[J]. 中山大学学报:医学科学版, 2010, 31(5):720-722.
5.	李学农, 丁彦青, 周军, 等. 软组织恶性淋巴瘤4例病理学观察及基因诊断[J]. 诊断病理学杂志, 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.	韩春燕, 李洪江, 博爱燕, 等. MRI诊断软组织淋巴瘤价值[J]. 中华实用诊断与治疗杂志, 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, 彭卫军, 杨文涛, 等. 原发性骨骼肌非霍奇金淋巴瘤的影像学表现[J]. 中华放射学杂志, 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.	张静漪, 邱逦, Parajuly SS. 结节性筋膜炎的组织病理学分型及其超声表现[J]. 中国医学影像技术, 2011, 27(4):818-821.
12.	刘菊先, 彭玉兰, 向波, 等. 神经鞘瘤的超声表现特征及其诊断价值[J]. 四川大学学报:医学版, 2008, 39(5):865-867.
13.	钟晓绯, 邱逦, 敬文莉,等. 韧带样型纤维瘤病的超声表现与病理特征中国医学影像技术, 2013, 29(1):105-109.
14.	唐远姣, 冷钱英, Sundar PS, 等. 滑膜肉瘤的二维及彩色多普勒超声特征[J]. 中国医学影像技术, 2014, 30(2):265-268.
15.	Hampson FA, Shaw AS. Response assessment in lymphoma[J]. Clin Radiol, 2008, 63(2):125-135.

1. 彭卫军, 朱增雄. 淋巴瘤影像诊断学[M]. 上海:上海科学技术出版社, 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. 杨静, 张芬芬, 房惠琼, 等. 原发性软组织淋巴瘤7例及临床病理特征[J]. 中山大学学报:医学科学版, 2010, 31(5):720-722.
5. 李学农, 丁彦青, 周军, 等. 软组织恶性淋巴瘤4例病理学观察及基因诊断[J]. 诊断病理学杂志, 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. 韩春燕, 李洪江, 博爱燕, 等. MRI诊断软组织淋巴瘤价值[J]. 中华实用诊断与治疗杂志, 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, 彭卫军, 杨文涛, 等. 原发性骨骼肌非霍奇金淋巴瘤的影像学表现[J]. 中华放射学杂志, 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. 张静漪, 邱逦, Parajuly SS. 结节性筋膜炎的组织病理学分型及其超声表现[J]. 中国医学影像技术, 2011, 27(4):818-821.
12. 刘菊先, 彭玉兰, 向波, 等. 神经鞘瘤的超声表现特征及其诊断价值[J]. 四川大学学报:医学版, 2008, 39(5):865-867.
13. 钟晓绯, 邱逦, 敬文莉,等. 韧带样型纤维瘤病的超声表现与病理特征中国医学影像技术, 2013, 29(1):105-109.
14. 唐远姣, 冷钱英, Sundar PS, 等. 滑膜肉瘤的二维及彩色多普勒超声特征[J]. 中国医学影像技术, 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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