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CT Appearances of Cystic Lymphangiomatosis of Spleen: Report of Two Cases

脾臟囊性淋巴管瘤之電腦斷層表現:兩病例報告

摘要


我們提出兩個囊性脾臟淋巴管瘤的病例。在第一個病例,電腦斷層掃描看到一個極度腫大的脾臟,它幾乎完全地被許多不同大小、囊性、薄壁、非對比增強、不含囊壁鈣化的病灶所取代。在第二個病例,電腦斷層掃描看到-個位在脾臟下端大的包膜下的囊性病灶,含有線性彎曲樣的囊壁鈣化,被數個較小而類似的衛星囊性病灶所圍繞。由我們的兩個病例可做出一個建議:儘管會有截然不同的電腦斷層表現,當看到脾臟有一個或多個不同大小、非對比增強、薄壁的病灶,淋巴管瘤的診斷必須被考慮到。

並列摘要


Two cases of cystic lymphangiomatosis of the spleen were presented. In the first case, computed tomography (CT) showed a markedly enlarged spleen which was almost replaced by multiple cystic, thin walled, nonenhancing lesions of varying size without cyst wall calcification. In the second case, CT scan showed a large subcapsular cystic lesion in the lower pole of the spleen with curvilinear cyst wall calcification, surrounded by several smaller satellite cystic lesions. Our two cases suggest that, despite quite different in CT scan appearance, splenic cystic lymphangiomatosis should be considered when nonenhancing thin-walled lesions in the spleen, of single or multiple low densities and varying size, are detected.

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