超声造影引导穿刺诊断浅表淋巴瘤伴坏死一例

Contrast-enhanced ultrasound-guided puncture for the diagnosis of superficial lymphoma complicated with necrosis:a case report

病理结果是淋巴瘤诊断金标准,淋巴结穿刺便捷且创伤小,但却存在目标组织量少等弊端,结合超声造影可更准确地获取目标组织。该文报道了1例浅表淋巴瘤伴坏死病例,其为74岁男性,因发现左侧腹股沟包块伴左下肢水肿20余日入院,淋巴结超声造影提示淋巴瘤伴坏死可能,遂于超声造影引导下穿刺行病理活组织检查,最后确诊为淋巴瘤。超声造影有助于规避穿刺坏死区域,提高穿刺取材精准度。

Pathological results is the gold standard for the diagnosis of lymphoma.Lymph node puncture is convenient with a minor wound surface,but it can only obtain a slight amount of target tissues.Puncture combined with contrast-enhanced ultrasound can obtain target tissues were accurately.Here,we reported a 74-year-old male case of superficial lymphoma complicated with necrosis.He was admitted to our hospital due to the left inguinal mass accompanied by left lower limb edema for over 20 d.Contrastenhanced ultrasound of lymph nodes prompted the possibility of lymphoma complicated with necrosis.The diagnosis of lymphoma was pathologically confirmed by contrast-enhanced ultrasound-guided puncture biopsy.Contrast-enhanced ultrasound contributes to avoiding the puncture of the necrotic area and enhance the accuracy of puncture sampling.