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嗜酸细胞肉芽肿

嗜酸细胞肉芽肿的相关文献在1993年到2021年内共计78篇,主要集中在内科学、肿瘤学、外科学 等领域,其中期刊论文78篇、专利文献106375篇;相关期刊49种,包括中华病理学杂志、中国临床医学影像杂志、中国医学影像学杂志等; 嗜酸细胞肉芽肿的相关文献由277位作者贡献,包括刘洪、张敏、李建全等。

嗜酸细胞肉芽肿—发文量

期刊论文>

论文:78 占比:0.07%

专利文献>

论文:106375 占比:99.93%

总计:106453篇

嗜酸细胞肉芽肿—发文趋势图

嗜酸细胞肉芽肿

-研究学者

  • 刘洪
  • 张敏
  • 李建全
  • 杨异
  • 林益良
  • 蒲丹
  • 谢伦利
  • 谢宇
  • 马绪彪
  • 丁琦峰
  • 期刊论文
  • 专利文献

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    • 林若庭; 林化松; 张碧月; 叶励超
    • 摘要: 患者女,47岁,因肢体麻木、疼痛10d,加剧8h入院.患者既往有"哮喘、鼻窦炎"史,入院查外周血嗜酸性粒细胞显著增加、CT平扫示副鼻窦炎及一过性细支气管炎,肌电图提示多发性单神经病,骨髓穿刺活检呈嗜酸性粒细胞增多症骨髓象,确诊为嗜酸性肉芽肿性多血管炎(EGPA),经激素、环磷酰胺等治疗好转.随后出现腹痛及部分性动眼神经麻痹,继续抑制免疫并抗凝治疗后好转.患者因头痛第3次住院,经腰椎穿刺术和头颅磁共振成像+磁共振血管成像+磁共振静脉成像等检查后诊断蛛网膜下腔出血,保守治疗后好转.EGPA并蛛网膜下腔出血罕见,本文旨在提高临床医师对该病的认识.
    • 徐强; 李家祥; 韩冬煦; 吴晓东
    • 摘要: 目的 探讨骨嗜酸性肉芽肿临床特点、诊治要点、误诊原因及防范误诊措施.方法 对骨嗜酸性肉芽肿23例中曾误诊16例的临床资料进行回顾性分析.结果 本组误诊率69.6%,以不同程度疼痛为首发症状11例,以病理性骨折为首发症状2例,以无痛性肿块为首发症状1例;行X线检查偶然发现2例.外院误诊11例,我院误诊5例.误诊为原发性恶性骨肿瘤9例,骨转移瘤4例,骨髓炎2例,结核1例.误诊时间1~3(2.1±0.8)周.16例均经骨穿刺活组织病理检查或术后病理检查证实为骨嗜酸性肉芽肿,免疫组织化学检查结果提示S-100及CD1α均(+).16例中4例给予患肢支具保护,行观察、定期随访;8例行病灶刮除植骨术,必要时辅以内固定增强稳定;3例采用椎体次全切联合钛网植骨内固定术;1例采用病灶刮除后骨水泥填充术.行观察、定期随访4例出院后6~12个月局部骨破坏消失,出现骨愈合并发生骨重塑;行手术治疗12例随访期间均无复发及恶变,预后良好.结论 骨嗜酸性肉芽肿在临床上较为少见,临床与影像学特征与恶性肿瘤及骨髓炎类似,极易误诊.临床医生应提高对该病认识,遇及类似本文患者时要发散诊断思维,综合全面对病情进行分析,并规范行活组织病理检查,以减少或避免误诊误治.
    • 王仁庆; 史炯; 牛丰南; 唐敏; 樊祥山; 仇毓东; 陈骏
    • 摘要: Objective To investigate the clinical, radiological and pathological features of visceral parasitic migration of the liver. Methods Seven cases of visceral parasitic migration of liver were identified at the Affiliated Drum Tower Hospital of Medical School of Nanjing University from January 2008 to July 2017. Clinical data, enhanced CT image and pathological features were analyzed, combining with literature review. Results There were 5 male and 2 female patients. Five patients presented with abdominal pain or discomfort as the first symptom. Two patients were admitted to the hospital for physical examination with liver nodule. Blood eosinophils were mildly to moderately increased in 4 cases. Enhanced CT showed the liver irregular beaded nodules that showed no significant enhancement of arterial phase. Mild enhancement of round lesions ( ring lesion) was seen in a few cases before surgery. By histopathology, the lesions showed central geographic necrosis, surrounded by epithelioid granuloma and inflammatory cell bands. A large number of eosinophils and scattered multinucleated giant cells were found, especially at the peripheral of the lesion. Charcot-Leyden crystals were present in all case and parasitic migrans was found in one case. Conclusions Visceral parasitic migration of liver is a rare liver disease and is easily misdiagnosed as other benign or malignant liver tumors. Combining clinical data, enhanced CT images and pathological examination can improve the preoperative and postoperative diagnosis of the disease.%目的 探讨肝脏寄生虫移行症的临床、影像及病理特点.方法 收集2008年1月至2017年7月就诊于南京大学医学院附属鼓楼医院的7例行局部肝脏切除术的肝脏寄生虫移行症患者资料,对其临床资料、影像学和病理形态进行分析,结合文献进行复习.结果 男性5例,女性2例.5例以上腹部疼痛或不适为首发症状,2例为体检发现"肝占位性病变"入院.4例血嗜酸性粒细胞轻度或中度增高,术前增强CT提示肝脏不规则"串珠状"占位,动脉期无明显强化,静脉期无强化或病变周围轻度环形强化.术后病理观察发现病变均为融合性地图状的中央坏死病灶,病灶从内向外分别为彻底坏死区、坏死碎屑带、上皮样肉芽肿带和炎性细胞带.病灶内均可见大量嗜酸性粒细胞,少量多核巨细胞,并可见特征性Charcot-Leyden结晶体,其中1例见寄生虫虫体.结论 肝脏寄生虫移行症是一种少见肝脏病变,既往临床上易误诊为其他肝脏良、恶性肿瘤,结合临床资料,增强CT影像和病理检查,可以提高该病的术前和术后诊断水平.
    • 刘云; 李璐; 张斌青; 张敏
    • 摘要: 目的:通过分析附肢骨嗜酸性肉芽肿(EGB)的影像学特征,提高对该病的认识和诊断水平.方法:回顾性分析经手术病理证实的21例附肢骨EGB的影像学资料,21例均行X线平片检查,15例行CT检查,7例行MRI检查,2例行SPECT-CT检查.结果:21例共26个病灶,其中18例单发,上肢骨6个病灶(锁骨2个,肱骨4个)、下肢骨12个病灶(股骨6个病灶,髋臼2个病灶,胫骨3个病灶,腓骨1个病灶);3例多发,累及肋骨2个、坐骨3个、髂骨3个,共8个病灶.影像学主要表现为囊状溶骨性骨质破坏,略膨胀.7个病灶可见骨膜反应,9个可见软组织肿胀或肿块,3个周围软组织水肿,1个增强扫描明显强化,2个SPECT-CT显示病灶周围浓聚.结论:X线检查是诊断附肢EGB的基础方法,结合CT、MRI及SPECT-CT能提高该病的诊断及鉴别诊断水平.
    • 马绪彪; 谢宇; 谢伦利; 刘洪; 杨异; 蒲丹
    • 摘要: 骨嗜酸性肉芽肿(eosinophilic granuloma,EG)属于朗格汉斯细胞组织细胞增多症(langerhans cell histiocytosis,LCH)的一种,病因尚不明确,目前认为是原发性免疫缺陷性良性肿瘤样病变[1]。骨EG好发于儿童和青少年,其发病率约占骨肿瘤的1%,而脊柱EG更少见[2]。脊柱EG表现为椎体溶骨性破坏,以单发为主,少数有侵袭性,可侵及椎体附件和周围软组织;其中,胸椎EG发病率最高(54%),颈椎EG发病率最低(11%)[3]。笔者所在医院
    • 马绪彪; 谢宇; 谢伦利; 刘洪; 杨异; 蒲丹
    • 摘要: 骨嗜酸性肉芽肿(eosinophilic granuloma,EG)属于朗格汉斯细胞组织细胞增多症(langerhans cell histiocytosis,LCH)的一种,病因尚不明确,目前认为是原发性免疫缺陷性良性肿瘤样病变。骨EG好发于儿童和青少年,其发病率约占骨肿瘤的1%,而脊柱EG更少见。脊柱EG表现为椎体溶骨性破坏,以单发为主,少数有侵袭性,可侵及椎体附件和周围软组织;其中,胸椎EG发病率最高(54%),颈椎EG发病率最低(11%)。
    • 杨勇政; 周山; 黄文亮; 张振勇; 丁琦峰
    • 摘要: 目的:分析长骨嗜酸性肉芽肿的影像特点。方法:回顾分析经手术或穿刺病理证实的23例长骨嗜酸性肉芽肿的临床资料,以及X线、CT、MRI表现。结果:23例中,20例单发,3例多发。其中胫骨11例,股骨5例,肱骨4例,腓骨、桡骨、尺骨各1例。影像学特点为髓腔内密度或信号异常改变、起源于骨皮质内缘的骨质破坏及骨髓水肿、线状或层状骨膜反应、软组织肿胀和肿块。结论:长骨嗜酸性肉芽肿影像表现具有一定的特征性,结合患者的临床表现、实验室检查及病理能提高对该病的认识。
    • 吴磊; 徐凯
    • 摘要: 目的:分析头颈部嗜酸性淋巴肉芽肿(ELG)的CT表现,以提高对该病的诊断准确性。方法:回顾性分析11例经病理证实的头颈部ELG的CT表现及相关临床资料。结果:发生在颌下区5例,腮腺5例,耳后皮下1例;双侧发病2例,单侧发病9例。其中颌下区病变最大者截面3.6 cm×2.5 cm,腮腺病变最大者截面9.0 cm×5.0 cm,耳后病变较大者1.5 cm×0.8 cm。CT表现为颌下区病变(累及腺体或淋巴结)体积明显增大,增强扫描后病变以均匀或不均匀强化为主。腮腺病变表现为腮腺体积增大,密度不均匀,内示多发结节或团块影,增强扫描呈结节样强化。1例发病在左侧耳后皮下,表现为左耳后皮下2枚结节影。体积增大的病灶均对周围组织产生不同程度的压迫或浸润。外周嗜酸性粒细胞均增加。结论:头颈部ELG的影像表现有一定特征性,仔细分析其特征并结合临床表现、实验室检查指标,术前作出诊断并不困难。%Objective:To analyze CT imaging characteristics of eosinophilic lymphoid granuloma of head and neck to improve its diagnostic accuracy. Methods:We retrospectively reviewed the CT imaging of 11 cases of eosinophilic lymphoid granuloma of head and neck confirmed immunohistochemically. Relevant clinical data was also obtained. Results:Of 11 cases,eosinophilic lymphoid granuloma were located in the submandibular region (n=5),parotid gland (n=5) and retroauricular region (n=1) in 2 bilateral cases and 9 unilateral cases. The maximum size was 3.6 cm × 2.5 cm in submandibular region,9.0 cm × 5.0 cm in parotid gland,and 1.5 cm × 0.8 cm in retroauricular region. The lesions in submandibular region showed enlarged masses,and were ho-mogeneous or heterogeneous after enhancement. The diseased parotid glands were enlarged and heterogeneous with nodular en-hancement. One retroauricular lesion demonstrated subcutaneous nodules. All the enlarged lesions compressed or infiltrated the adjacent tissue in varying degrees. Peripheral eosinophils increased in all cases. Conclusion:Specific imaging manifestations of Kimura’s disease are available. With serious observation and close connection with clinic and laboratory examination,the correct diagnosis is not difficult to be made before operation.
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