People's Health Press
ISSN 2096-2738 CN 11-9370/R
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Electronic Journal of Emerging Infectious Diseases ›› 2020, Vol. 5 ›› Issue (3): 165-168.doi: 10.19871/j.cnki.xfcrbzz.2020.03.005

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Clinical and CT findings of AIDS-related abdominal lymphoma

Qin Chunle, Li Yu, Pan Shirong, Lu Yibo   

  1. Department of Radiology,the Fourth People's Hospital of Nanning, Guangxi AIDS Clinical Treatment Center, Infectious Disease Hospital affiliated to Guangxi Medical University, Nanning 530023, China
  • Received:2020-08-13 Online:2020-03-20 Published:2020-10-12

Abstract: Objective To explore the clinical characteristics and CT findings of AIDS-related abdominal lymphoma, enhance the understanding of AIDS-related abdominal lymphoma, and provide evidence for clinical diagnosis and treatment. Methods The clinical characteristics and CT findings of 39 patients with AIDS-related abdominal lymphoma confirmed by pathology were retrospectively analyzed. Results 1 of 39 cases of HIV/AIDS with abdominal lymphoma was associated with Hodgkin's lymphoma, and the other 38 cases were non-hodgkin's lymphoma cases.The main finding is the presence of multiple enlarged lymph nodes with high rate of extra-lymph node involvement (27/39, 69.23%). All the extra-lymph node involvements include liver (n=11), pancreas and stomach (both n=8), spleen, intestines, and adrenal gland (n=4), kidney(n=3), bladder, uterus and testes (all n=2), and prostate gland (n=1). The lesions were mostly manifested as soft tissue masses with reduced density, often piled or fused into masses, with central liquefaction and necrosis. Conclusion AIDS-related abdominal lymphoma is mainly non-Hodgkin's lymphoma, which is highly invasive, extensively involving abdominal lymph nodes and organs other than lymph nodes, and has a high incidence of extra-lymph node involvement. CT findings were characteristic to some extent, and if combined with clinical manifestations, could improve the diagnostic match rate.

Key words: Acquired immune deficiency syndrome, Lymphoma, Abdomen, Computed tomography findings