Asunto(s)
Encefalopatías/inducido químicamente , Personal Militar , Síndromes de Neurotoxicidad/diagnóstico , Adulto , Encefalopatías/diagnóstico , Encefalopatías/diagnóstico por imagen , Hospitales Militares , Humanos , Medicina Militar , Servicio de Radiología en Hospital , Federación de Rusia , Tomografía Computarizada por Rayos XRESUMEN
The data of computed tomography (CT) were used to study the semiotics of extranodal manifestations in 78 patients with varying malignancy non-Hodgkin's lymphomas. The most common lesions were found in the viscera: liver, spleen, peritoneum, omentum, pancreas, adrenals, mesentery. The CT pattern of these lesions is diverse, each site has its own specific features. Combining the clinical manifestations and CT signs of lesions to individual organs, recording the extent of lymphadenopathy will aid in establishing the diagnosis of non-Hodgkin's lymphoma. A lesion detected in some organs located both above and below the diaphragm is a typical feature of high-grade malignancy.
Asunto(s)
Linfoma no Hodgkin/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Neoplasias de las Glándulas Suprarrenales/diagnóstico por imagen , Adulto , Anciano , Diagnóstico Diferencial , Femenino , Humanos , Neoplasias Hepáticas/diagnóstico por imagen , Masculino , Mesenterio/diagnóstico por imagen , Persona de Mediana Edad , Epiplón/diagnóstico por imagen , Neoplasias Pancreáticas/diagnóstico por imagen , Neoplasias Peritoneales/diagnóstico por imagen , Neoplasias del Bazo/diagnóstico por imagenRESUMEN
Seventy eight patients with varying malignancy non-Hodgkin's lymphomas were examined. Signs of extranodal damage of the spleen and liver were studied. Spleno- and hepatomegaly were signs of the commonest diffuse visceral involvements. In terms of the malignancy (low- or high-grade), splenomegaly was seen in 71.4 and 82.5% of patients and hepatomegaly was observed in 43.9 and 28.6%, respectively. In addition, irregular visceral outlines, tuberosity, changed density of the parenchyma and its homogeneity. A high correlation was found between the enlargement of the viscera and their decreased parenchymal density. Focal visceral involvements are less difficult to be diagnosed than diffuse ones, but they are much rarer. Computerized tomographic findings indicate the malignancy of a process.