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中华医学超声杂志(电子版) ›› 2022, Vol. 19 ›› Issue (04) : 379 -381. doi: 10.3877/cma.j.issn.1672-6448.2022.04.019

病例报告

儿童皮下脂膜炎样T细胞淋巴瘤超声表现一例
孟争亮1, 高峻1,(), 冯肖媛1   
  1. 1. 430016 华中科技大学同济医学院武汉儿童医院超声影像科
  • 收稿日期:2021-04-03 出版日期:2022-04-01
  • 通信作者: 高峻

Ultrasonographic manifestations of subcutaneous panniculitic T-cell lymphoma in a child

Zhengliang Meng1, Jun Gao1(), Xiaoyuan Feng1   

  • Received:2021-04-03 Published:2022-04-01
  • Corresponding author: Jun Gao
引用本文:

孟争亮, 高峻, 冯肖媛. 儿童皮下脂膜炎样T细胞淋巴瘤超声表现一例[J]. 中华医学超声杂志(电子版), 2022, 19(04): 379-381.

Zhengliang Meng, Jun Gao, Xiaoyuan Feng. Ultrasonographic manifestations of subcutaneous panniculitic T-cell lymphoma in a child[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2022, 19(04): 379-381.

图1 左大腿包块超声图像。图a为常规二维超声示皮下脂肪层内稍高回声区(箭头所示);图b为彩色多普勒血流成像示其内血流信号不明显(箭头所示)
图2 左大腿包块CT增强图像示皮下脂肪内斑片状密度增高影,未见明显强化(箭头所示)。图a为横断位图像;图b为矢状位图像
图3 左大腿包块病理检查图像示脂肪细胞间大量淋巴细胞浸润,夹杂少数组织细胞及浆细胞,部分细胞具有一定异型性(HE染色 ×200)
图4 骨髓象分析图像示粒细胞比例减低,幼红细胞比例增高(瑞氏染色 ×1000)
图5 左胸壁包块及左腹股沟包块超声图像。图a,b分别为左胸壁包块二维及彩色多普勒血流图像示皮下脂肪层内稍高回声区伴细管状低回声(图a箭头所示),其内可见点状及条状血流信号(图b 箭头所示);图c,d分别为左腹股沟包块二维及彩色多普勒血流图像示皮下脂肪层内稍高回声区伴细管状低回声(图c箭头所示),其内可见点状及条状血流信号(图d箭头所示)
1
Ohtsuka M, Miura T, Yamamoto T. Clinical characteristics, differential diagnosis, and treatment outcome of subcutaneous panniculitis-like T-cell lymphoma: a literature review of published Japanese cases [J]. Eur J Dermatol, 2017, 27(1): 34-41.
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Swerdlow SH, Campo E, Harris NL, et al. WHO classification of tumours of haematopoietie and lymphoid tissues [M]. Lyon: IARC Press, 2017: 383-385.
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任发亮, 陶玥, 朱进, 等. 儿童皮下脂膜炎样T细胞淋巴瘤合并嗜血细胞综合征一例附文献复习 [J]. 中国麻风皮肤病杂志, 2017, 33(11): 667-671.
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Lim GY, Hahn ST, Chung NG, et al. Subcutaneous panniculitis-like T-cell lymphoma in a child: whole-body MRI in the initial and follow-up evaluations [J]. Pediatr Radiol, 2009, 39(1): 57-61.
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Jeong SI, Lim HS, Choi YR, et al. Subcutaneous panniculitis-like T cell lymphoma appearing as a breast mass: a difficult and challenging case appearing at an unusual site [J]. J Ultrasound Med, 2005, 24(10): 1453-1460.
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