臨牀消化器内科 Vol.13 No.3(6)


特集名 悪性リンパ腫
題名 US,EUS,CTからみた悪性リンパ腫
発刊年月 1998年 03月
著者 芳野 純治 藤田保健衛生大学第二病院内科
【 要旨 】 US,EUS,CTは消化管の悪性リンパ腫の補助的診断に主として用いられる.本症はEUSにより境界明瞭な均一な低エコーの腫瘤像として主として描出され,US・CTでは壁の肥厚像として描出される.EUSは深達度診断,リンパ節転移の診断,他疾患との鑑別,治療効果判定に用いられる.US・CTはスクリーニング検査,管外性発育や隣接臓器への浸潤の診断,リンパ節・肝転移の診断,病期診断,治療効果判定に用いられる.
Theme Malignant Lymphoma of the GI Tract
Title The Roles of US, EUS, and CT in Evaluating Malignant Lymphoma
Author Junji Yoshino Department of Internal Medicine, Second Hospital, Fujita Health University School of Medicine
[ Summary ] In almost all cases, malignant lymphomas are observed as homogeneously low-echoic areas with clear margins by endoscopic ultrasonography(EUS). By abdominal ultrasonography (US) or computed tomography (CT) these lesions reveal the findings of a mass and the thickness of the digestive tract wall. The depth of invasion and lymphoid metastasis are diagnosed by EUS. EUS is also useful for differential diagnosis, and judging the effectiveness of chemotherapy. On the other hand, extension beyond the digestive tract and invasion into neighboring organs, lymphoid metastasis and liver metastasis, the lesion stage and the effectiveness of chemotherapy are assessed by US or CT. US is also used as a screening examination for malignant lymphoma.
戻る