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目的：探讨以腹膜受累起病的儿童伯基特淋巴瘤（BL）的临床及CT表现。方法：回顾性分析以腹膜受累起病并经病理证实的6例BL患儿的临床及CT表现。结果：CT示6例壁腹膜均受累，腹腔壁腹膜增厚呈线带状，盆腔双侧后壁腹膜梭形增厚，左右环绕直肠，呈“W”或“V”样特征性表现。大网膜及肠系膜呈污迹样改变3例，呈肿块状1例，呈饼样增厚1例，饼样增厚伴结节样增厚1例。结论：BL累及腹膜相对罕见，表现为腹膜不均匀增厚，其中盆腔双侧后壁腹膜梭形增厚呈“W”或“V”样表现有一定的特征性，但最终诊断仍需手术或穿刺活检病理证实。
Abstract：Objective:To explore the clinical and CT features of Burkitt lymphoma involving the peritoneum in children. Methods:The clinical and CT features of 6 pediatric patients with peritoneal Burkitt lymphoma were retrospectively analyzed,and their relevant characteristics were examined. Results:CT examination showed that 6 cases had involvement of the parietal peritoneum,characterized by thickening in linear bands and fusiform shapes on both sides of the pelvic posterior parietal peritoneum,exhibiting a W-or V-shaped appearance. The omentum majus showed staining-like changes in 3 cases,a mass-like appearance in 1 case,a pancake-like thickening in 1 case,with nodular thickening in another 1 case. Conclusions:Burkitt lymphoma rarely involves the peritoneum,and the peritoneal thickening is heterogeneous. The bilateral posterior pelvic parietal peritoneum presenting fusiform thickening in a W-or V-shaped is characteristic. However,the final diagnosis still requires confirmation through surgery or biopsy.
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基本信息:
中图分类号:R733.1;R730.44
引用信息:
[1]鲍爱华,宋修峰,张洁琳,等.以腹膜受累起病的儿童伯基特淋巴瘤的临床与CT表现[J].中国中西医结合影像学杂志,2026,24(01):116-119.
2026-01-21
2026-01-21