Abdominal Ultrasonography in Myelofibrosis
Autor: | M. J. Alavaikko, T. Siniluoto, M. Päivänsalo, S. A. Hyvärinen, I. Suramo |
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Rok vydání: | 1992 |
Předmět: |
medicine.medical_specialty
Pathology medicine.diagnostic_test Radiological and Ultrasound Technology business.industry General Medicine medicine.disease Malignancy 030218 nuclear medicine & medical imaging Extramedullary hematopoiesis 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Abdominal ultrasonography Biopsy Ascites medicine Radiology Nuclear Medicine and imaging Radiology medicine.symptom Splenic disease Complication Myelofibrosis business |
Zdroj: | Acta Radiologica. 33:343-346 |
ISSN: | 1600-0455 0284-1851 |
Popis: | The findings at abdominal ultrasonography (US) in 40 patients with myelofibrosis were reviewed, 20 patients being examined at initial diagnosis and 31 at later stages. Splenomegaly was found in 80% at initial diagnosis and in 97% at later stages. The spleen of 2 patients appeared homogeneously hypoechoic and inhomogeneous in one. Focal splenic lesions were seen in 5, and calcifications in 6. Mixed splenic lesions proved to be metastases in one and hyperechoic lesions in another patient were due to extramedullary hematopoiesis. Hepatomegaly was found in 25% at primary diagnosis and in 39% at later stages. Focal hepatic lesions were seen in 7 patients, and proved to be metastases in 3. The focal lesions in 2 of these patients were extramedullary hematopoiesis, which was hypoechoic in one and hyperechoic in the other. Ascites was seen in 4 patients and lymphadenopathy in one. US could not reliably differentiate between extramedullary hematopoiesis and malignancy. Fine-needle biopsy may be performed for definitive diagnosis. |
Databáze: | OpenAIRE |
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