原發性小腸淋巴瘤在小腸灌流雙重造影術之X光表徵

Radiologic Manifestation of Primary Intestinal Lymphoma in Double Contrast Enteroclysis

陳曜卿(Yaw-Ching Chen) ； 何文祥(Wen-Hsiang Ho) ； 黃及人(Chi-Jen Huang)

《中華放射線醫學雜誌》 18卷3期 (1993/09) Pp. 295-299

摘要

小腸灌流雙重造影術對於小腸皺襞之厚薄、數量、黏膜層之病灶如：結節(nodule)、息肉樣腫瘤(polypoid mass)及潰瘍等之發現，皆比一般小腸灌注檢查為優。小腸淋巴瘤由腸道固有層(lamina propria)之類淋巴組識(lymphoid tissue)發生後，沿著黏膜下層散播，亦可侵犯該部位之淋巴結。在雙重造影影像中依Marshak et al之分類，可發現5種型態。本文統計自1985年起至1991年止，共6例經病理證實之小腸淋巴瘤，施行8次小腸灌流雙重造影術之結果，其x光表徵為Ⅰ型1例，Ⅱ型1例，Ⅰ+Ⅱ型1例，Ⅰ+Ⅱ+Ⅲ型1例，Ⅳ型1例，Ⅳ+Ⅴ型1例，Ⅰ+Ⅳ+Ⅴ型1例；另外1例為經手術切除後，未再發現異常影像。故淋巴瘤可同時有多樣化變化，由此可證。

關鍵字

小腸灌流雙重造影術 ； 胃腸道腫瘤 ； 淋巴瘤

並列摘要

Double contrast enteroclysis is superior to simple contrast enema in evaluating fold thickness, number of folds, and mucosa lesions of small bowel-such as nodules, polypoid masses and ulceration.
Small bowel lymphoma arises from lymphoid tissue of lamina propria. It disseminates to submucosa and also involves lymph node in submucosa. Marshak et al have demonstrated five patterns of small bowel lymphoma in double contrast enteroclysis.
From 1985 to 1991, six cases of small bowel lymphoma had been proven. As the result of eight examinations of double contrast enema, we found 1 case of type Ⅰ; 1 case of type Ⅱ; 1 case of type Ⅰ+Ⅲ; 1 case of type Ⅰ+Ⅱ+Ⅲ; 1 case of type Ⅳ: 1 case of type Ⅳ+Ⅴ; 1 case of type Ⅰ+Ⅳ+Ⅴ and 1 case of nonspecific findings after the resection.
In conclusion, lymphoma may have a variety of manifestations that occur simultaneously.

並列關鍵字

Enteroclysis ； gastrointestinal tract, neoplasm ； lymphoma