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Hodgkins and Non-hodgkins Hepatic Lymphoma - Sonographic Findings

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Soyer, P. Van Beers, Bernard [UCL] Grandin, Cécile [UCL] Teilletthiebaud, F. Kazerouni, F. Pringot, Jacques [UCL] Levesque, M.

The sonographic studies of 72 patients with pathologically proven Hodgkin's or non-Hodgkin's hepatic lymphoma were retrospectively reviewed. Sixty-eight patients (94%) had secondary hepatic lymphoma (nine of them had AIDS-related lymphoma) and four patients (6%) had primary lymphoma of the liver. Forty-six of 72 patients (64%) had diffuse hepatic involvement, and 26 of 72 patients (36%) had focal liver lesions as demonstrated by sonography. Four patterns of disease were identified: (a) hepatomegaly was depicted by sonography in 26 of the 59 patients with secondary hepatic lymphoma not related to AIDS, in two of the nine patients with AIDS-related secondary hepatic lymphoma, and in one of the four patients with primary hepatic lymphoma; (b) multiple rounded well delineated hypoechoic liver lesions were found in 22 of the 68 patients with secondary hepatic lymphoma; (c) a large heterogeneous echoic mass, which was an evocating clue to the diagnosis of primary lymphoma of the liver, was found in the four patients with primary lymphoma of the liver; and (d) an absence of sonographic abnormalities was found in 20 of the 59 patients with secondary lymphoma not related to AIDS. Liver involvement with lymphoma should be considered in any patient who develops multiple homogeneous hypoechoic liver masses, even in the absence of known underlying lymphomatous disease.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 1993
Language Anglais
Journal information "Abdominal Imaging" - Vol. 18, no. 4, p. 339-343 (1993)
Peer reviewed yes
Publisher Springer Verlag (New York)
issn 0942-8925
e-issn 1432-0509
Publication status Publié
Affiliations UCL - Cliniques universitaires Saint-Luc
UCL - MD/RAIM - Département de radiologie et d'imagerie médicale
UCL - (SLuc) Service de radiologie
Keywords LIVER, SONOGRAPHIC STUDIES ; LIVER, NEOPLASMS ; LYMPHOMA, DIAGNOSIS
Links
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Bibliographic reference Soyer, P. ; Van Beers, Bernard ; Grandin, Cécile ; Teilletthiebaud, F. ; Kazerouni, F. ; et. al. Hodgkins and Non-hodgkins Hepatic Lymphoma - Sonographic Findings. In: Abdominal Imaging, Vol. 18, no. 4, p. 339-343 (1993)
Permanent URL http://hdl.handle.net/2078.1/49578