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CT Manifestations of Abdominal Langerhans' Cell Histiocytosis in Children: A Report of 4 Cases

小兒腹腔內藍蓋罕式組織細胞症的電腦斷層表現:四病例報告

摘要


我們提出四位兒童罹患藍蓋罕式組織細胞症之病例報告,年齡從11個月至2歲。臨床上,他們通常表現出下例症狀,如:發燒、皮疹、黃疸、肝脾腫大、肝功能指數上升和淋巴結腫大等。腹部電腦斷層的表現包括肝脾腫大,肝內低密度結節病灶合併環狀顯影,門脈旁之低密度病灶,以及淋巴結腫大等。 我們認為這些影像表現可能與藍蓋罕式組織細胞症之病理變化有相當程度的關聯。這四位病人或許代表著肝臟之藍蓋罕式組織細胞症之不同面像或階段。

並列摘要


We presented the abdominal computed tomography (CT) findings of four cases of Langerhans' cell histiocytosis (LCH) in children (age ranged from 11 month-old to 2 year-old, two boys and two girls), who clinically had either fever, skin rash, hepatosplenomegaly. persistent jaundice. elevated liver enzymes, or lymphadenopathy. CT showed variable findings, including: hepatomegaly, splenomegaly, liver cirrhosis, hypoattenuating or ring-enhancing, nodular lesions in the liver, hepatic periportal low-density lesions and paraaortic lymph node enlargement. We assumed that the radiologic appearances of hepatic lesions in LCH might correlate with the histopathological features of hepatic involvement in LCH. Our four cases probably represented the different phases or stages of hepatic involvement in LCH.

並列關鍵字

Children Liver CT Histiocytosis

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