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© 2005 by the American Institute of Ultrasound in Medicine
J Ultrasound Med 24:77-86 • 0278-4297

High-Resolution Ultrasonography of Primary Peripheral Soft Tissue Lymphoma

Hong-Jen Chiou, MD, Yi-Hong Chou, MD, See-Ying Chiou, MD, Wei-Ming Chen, MD, Winby Chen, MD, Hsin-Kai Wang, MD and Cheng-Yen Chang, MD

Departments of Radiology (H.-J.C., Y.-H.C., S.-Y.C., H.-K.W., C.-Y.C.), Orthopedic Surgery (W.-M.C.), and Pathology (W.C.), Taipei Veterans General Hospital and National Yang Ming University, School of Medicine, Taipei, Taiwan.

Address correspondence and reprint requests to Hong-Jen Chiou, MD, Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Rd, Taipei 11217, Taiwan. E-mail: hjchiou{at}vghtpe.gov.tw

Objective. The purpose of this study was to evaluate the appearance of primary peripheral soft tissue lymphoma on high-resolution ultrasonography. Methods. We retrospectively studied the sonograms of 12 patients (5 female and 7 male; age range, 12–90 years; mean, 55 years) with soft tissue lymphoma. All lesions were palpable and in the salivary glands, trunk, upper limb, or lower limb, and the diagnosis was proved by biopsy or open surgery. For each lesion, sonograms were obtained by gray scale and color Doppler ultrasonography. Results. The gray scale imaging showed relatively homogeneous hypoechogenicity in 11 patients and homogeneous hyperechogenicity in 1 patient. The tumors appeared as big masses in 5 patients, nodal or confluent nodes in 3, small disseminated nodules in 2, a myositis type in 1, and a panniculitis type (homogeneous echogenic infiltrate in a subcutaneous fat layer) in 1. Conclusions. In patients with a soft-tissue mass, routine plain radiography and high-resolution ultrasonography including color Doppler ultrasonography are recommended before further evaluation with ultrasonographically guided biopsy.

Key Words: color Doppler ultrasonography • high-resolution ultrasonography • soft tissue lymphoma

Abbreviations: CDUS, color Doppler ultrasonography • CT, computed tomographic • HRUS, high-resolution ultrasonography




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Copyright © 2005 by the American Institute of Ultrasound in Medicine.