AIDS-Related Non-Hodgkin Lymphoma: Imaging Feature Analysis of 27 Cases and Correlation with Pathologic Findings

Yang, Jun; Wang, Peng; Lv, Zhi-Bin; Wei, Lian-Gui; Xu, Yun-Liang; Zhou, An; Xu, Dong-Hai; Ma, Da-Qing

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저자정보: Yang, Jun (Department of Radiology, Beijing Friendship Hospital, Capital Medical University) Wang, Peng (Department of Pathology, Beijing Ditan Hospital, Institute of Infectious Diseases, Capital Medical University) Lv, Zhi-Bin (Department of Radiology, Beijing Ditan Hospital, Institute of Infectious Diseases, Capital Medical University) Wei, Lian-Gui (Department of Radiology, Beijing Ditan Hospital, Institute of Infectious Diseases, Capital Medical University) Xu, Yun-Liang (Department of Radiology, Beijing Ditan Hospital, Institute of Infectious Diseases, Capital Medical University) Zhou, An (Department of Radiology, Beijing Ditan Hospital, Institute of Infectious Diseases, Capital Medical University) Xu, Dong-Hai (Department of Radiology, Beijing Ditan Hospital, Institute of Infectious Diseases, Capital Medical University) Ma, Da-Qing (Department of Radiology, Beijing Friendship Hospital, Capital Medical University)

저널정보: 아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제15권 제18호

발행연도: 2014.1

수록면: 7,769 - 7,773 (5page)

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Background: Some tumor types are related to HIV, including non-Hodgkin lymphoma (NHL). The morbidity and mortality of NHL has remained high, even after highly active antiretroviral therapy (HAART) was introduced. We collected cases of AIDS with NHL, and evaluated the imaging features and strategies for diagnosis. Materials and Methods: There were 27 patients with AIDS and tumors confirmed by pathology. There were 9 patients with Burkitt lymphoma, 16 with diffuse large B cell lymphomas (DLBCLs), and 2 with primary central nervous system (PCNS) lymphomas. All of the patients underwent a series of imaging studies. Three radiologists analyzed the images, and any disagreement was discussed until consensus was reached. Results: The radiologic manifestations of AIDS with NHL were mainly masses and lymphadenopathy, 3 patients having one mass and 12 two or more masses. 7 patients had lymphadenopathy in one site and 3patients had lymphadenopathy in two or more sites. Coarse mucosal folds, thickening of the gastrointestinal wall, and lumen narrowing were typical manifestations of NHL within the gastrointestinal tract. There were 4 patients with masses and 5 with lymphadenopathy inthe 9 with Burkitt lymphoma, and 11 patients with masses 5 with lymphadenopathy in the 16 with DLBCLs. Conclusion: NHL is a malignancy that usually occurs in patients with AIDS. Imaging is an important method by which to evaluate lesions, masses, and lymphadenopathy. Fine needle aspiration biopsy and stereotaxis biopsy are useful methods by which to diagnose NHL.

#AIDS #non-Hodgkin lymphoma #radiography #pathology #fine needle aspiration biopsy

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Yang, Jun

소속기관 Department of Nuclear Medicine, the First Affiliated Hospital, College of Medicine, Zhejiang Univers