Skip to main content

Advertisement

Log in

Extranodal lymphomas of abdomen and pelvis: imaging findings and differential diagnosis

  • Pictorial Essay
  • Published:
Abdominal Radiology Aims and scope Submit manuscript

Abstract

A wide spectrum of extranodal lymphomas in the abdomen and pelvis is commonly encountered by imaging. Diagnosing these lesions generally requires a multimodality approach. This review highlights imaging appearances of extranodal lymphomas in the abdomen and pelvis with emphasis on computed tomography, magnetic resonance imaging, and positron emission tomography–computed tomography along with the relevant differential diagnosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14
Fig. 15
Fig. 16
Fig. 17
Fig. 18
Fig. 19
Fig. 20
Fig. 21
Fig. 22
Fig. 23
Fig. 24

Similar content being viewed by others

References

  1. d’Amore F, Christensen BE, Brincker H, et al. (1991) Clinicopathological features and prognostic factors in extranodal non-Hodgkin lymphomas. Danish LYFO Study Group. Eur J Cancer 27(10):1201–1208

    Article  PubMed  Google Scholar 

  2. Gurney KA, Cartwright RA (2002) Increasing incidence and descriptive epidemiology of extranodal non-Hodgkin lymphoma in parts of England and Wales. Hematol J 3(2):95–104

    Article  PubMed  Google Scholar 

  3. Paes FM, Kalkanis DG, Sideras PA, Serafini AN (2010) FDG PET/CT of extranodal involvement in non-Hodgkin lymphoma and Hodgkin disease. Radiographics 30(1):269–291

    Article  PubMed  Google Scholar 

  4. Noronha V, Shafi NQ, Obando JA, Kummar S (2005) Primary non-Hodgkin’s lymphoma of the liver. Crit Rev Oncol Hematol 53(3):199–207

    Article  PubMed  Google Scholar 

  5. Fishman EK, Kuhlman JE, Jones RJ (1991) CT of lymphoma: spectrum of disease. Radiographics 11(4):647–669

    Article  CAS  PubMed  Google Scholar 

  6. Shirkhoda A, Ros PR, Farah J, Staab EV (1990) Lymphoma of the solid abdominal viscera. Radiol Clin N Am 28(4):785–799

    CAS  PubMed  Google Scholar 

  7. Kamaya A, Weinstein S, Desser TS (2006) Multiple lesions of the spleen: differential diagnosis of cystic and solid lesions. Semin Ultrasound CT MR 27(5):389–403

    Article  PubMed  Google Scholar 

  8. Elsayes KM, Narra VR, Mukundan G, et al. (2005) MR imaging of the spleen: spectrum of abnormalities. Radiographics 25(4):967–982

    Article  PubMed  Google Scholar 

  9. Chou CKK, Chen LT, Sheu RS, et al. (1994) MRI manifestations of gastrointestinal lymphoma. Abdom Imaging 19(6):495–500

    Article  CAS  PubMed  Google Scholar 

  10. Radan L, Fischer D, Bar-Shalom R, et al. (2008) FDG avidity and PET/CT patterns in primary gastric lymphoma. Eur J Nucl Med Mol Imaging 35(8):1424–1430

    Article  PubMed  Google Scholar 

  11. Gossios K, Katsimbri P, Tsianos E (2000) CT features of gastric lymphoma. Eur Radiol 10(3):425–430

    Article  CAS  PubMed  Google Scholar 

  12. Boşoteanu C, Boşoteanu M, Aşchie M (2009) Differential diagnosis issues in a case of gastric carcinoma associated with leukemoid reaction. Rom J Morphol Embryol 50(4):701–705

    PubMed  Google Scholar 

  13. Leite NP, Kased N, Hanna RF, et al. (2007) Cross-sectional imaging of extranodal involvement in abdominopelvic lymphoproliferative malignancies. Radiographics 27(6):1613–1634

    Article  PubMed  Google Scholar 

  14. Buckley JA, Fishman EK (1998) CT evaluation of small bowel neoplasms: spectrum of disease. Radiographics 18(2):379–392

    Article  CAS  PubMed  Google Scholar 

  15. Kim H, Kim JH, Lim JS, et al. (2011) MRI findings of rectal submucosal tumors. Korean J Radiol 12(4):487–498

    Article  PubMed  PubMed Central  Google Scholar 

  16. Charnsangavej C (1990) Lymphoma of the genitourinary tract. Radiol Clin North Am 28(4):865–877

    CAS  PubMed  Google Scholar 

  17. Wang J-P, Sun H-R, Li Y-J, Bai R-J, Gao S (2009) Imaging features of primary adrenal lymphoma. Chin Med J 122(20):2516–2520

    PubMed  Google Scholar 

  18. Sheth S, Ali S, Fishman E (2006) Imaging of renal lymphoma: patterns of disease with pathologic correlation. Radiographics 26(4):1151–1168

    Article  PubMed  Google Scholar 

  19. Heiken JP, Gold RP, Schnur MJ, et al. (1983) Computed tomography of renal lymphoma with ultrasound correlation. J Comput Assist Tomogr 7(2):245–250

    Article  CAS  PubMed  Google Scholar 

  20. Van Beers B, Lalonde L, Soyer P, et al. (1993) Dynamic CT in pancreatic lymphoma. J Comput Assist Tomogr 17(1):94–97

    Article  PubMed  Google Scholar 

  21. Prayer L, Schurawitzki H, Mallek R, Mostbeck G (1992) CT in pancreatic involvement of non-Hodgkin lymphoma. Acta Radiol 33(2):123–127

    Article  CAS  PubMed  Google Scholar 

  22. Saito W, Amanuma M, Tanaka J, Heshiki A (2002) A case of testicular malignant lymphoma with extension to the epididymis and spermatic cord. Magn Reson Med Sci 1(1):59–63

    Article  PubMed  Google Scholar 

  23. Goto N, Oishi-Tanaka Y, Tsunoda H, Yoshikawa H, Minami M (2007) Magnetic resonance findings of primary uterine malignant lymphoma. Magn Reson Med Sci 6(1):7–13

    Article  PubMed  Google Scholar 

  24. Kim YS, Cho OK, Song SY, et al. (1998) Peritoneal lymphomatosis: CT findings. Abdom Imaging 23(1):87–90

    Article  CAS  PubMed  Google Scholar 

  25. Zhang J, Wang R, Li Y, Zhang F (2003) Extranodal imaging manifestations of non-Hodgkin’s lymphoma. J Huazhong Univ Sci Technol Med Sci 23(3):324–327

    Article  PubMed  Google Scholar 

  26. El-Serag HB, Marrero JA, Rudolph L, Reddy KR (2008) Diagnosis and treatment of hepatocellular carcinoma. Gastroenterology 134(6):1752–1763

    Article  PubMed  Google Scholar 

  27. Semelka RC, Shoenut JP, Greenberg HM, Bow EJ (1992) Detection of acute and treated lesions of hepatosplenic candidiasis: comparison of dynamic contrast-enhanced CT and MR imaging. J Magn Reson Imaging 2(3):341–345

    Article  CAS  PubMed  Google Scholar 

  28. Byun JH, Ha HK, Kim AY, et al. (2003) CT findings in peripheral T-cell lymphoma involving the gastrointestinal tract. Radiology 227(1):59–67

    Article  PubMed  Google Scholar 

  29. Buy JN, Moss AA (1982) Computed tomography of gastric lymphoma. Am J Roentgenol 138(5):859–865

    Article  CAS  Google Scholar 

  30. Thoeni RF, Cello JP (2006) CT imaging of colitis. Radiology 240(3):623–638

    Article  PubMed  Google Scholar 

  31. Hauser M, Krestin GP, Hagspiel KD (1995) Bilateral solid multifocal intrarenal and perirenal lesions: differentiation with ultrasonography, computed tomography and magnetic resonance imaging. Clin Radiol 50(5):288–294

    Article  CAS  PubMed  Google Scholar 

  32. Al-Mansour Z, Nelson BP, Evens AM (2013) Post-transplant lymphoproliferative Disease (PTLD): risk factors, diagnosis, and current treatment Strategies. Curr Hematol Malig Rep 8(3):173–183

    Article  PubMed  PubMed Central  Google Scholar 

  33. Borhani AA, Hosseinzadeh K, Almusa O, Furlan A, Nalesnik M (2009) Imaging of posttransplantation lymphoproliferative disorder after solid organ transplantation. Radiographics 29:981–1002

    Article  PubMed  Google Scholar 

  34. Camacho JC, Coursey Moreno C, Harri PA, et al. (2014) Posttransplant lymphoproliferative disease: proposed imaging classification. Radiographics 34:2025–2038

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sandeep S. Hedgire.

Ethics declarations

Funding

No funding was received for this study.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required. This article does not contain any studies with animals performed by any of the authors.

Informed consent

Statement of informed consent was not applicable since the manuscript does not contain any patient data.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hedgire, S.S., Kudrimoti, S., Oliveira, I.S. et al. Extranodal lymphomas of abdomen and pelvis: imaging findings and differential diagnosis. Abdom Radiol 42, 1096–1112 (2017). https://doi.org/10.1007/s00261-016-0964-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00261-016-0964-8

Keywords

Navigation