Imaging appearance of the involved mesenteric node in patient with systemic amyloidosis: A case report

Sunpob Cheewadhanaraks, Thitithep Suriyamonthon, Paramee Noisri, Pimporn Puttawibul, T. Pattarapuntakul, N. Wisedopas, Pakorn Arunsawat, K. Khanungwanitkul
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Abstract

Amyloidosis is a rare disease characterised by abnormal amyloid protein deposition within the affected tissue. About 37% of the patients were presented with systemic amyloidosis, of which hilar, mediastinal, and para-aortic lymph nodes were involved. Deposition of amyloid protein in the mesenteric lymph node is rarely documented, but when reported, it is seen in isolated or secondary amyloidosis. Despite an indistinguishable imaging appearance of the amyloid- deposit mesenteric node from malignancy, infection, and an inflammation process, the radiologists should be aware of variable imaging findings to be suspicious of amyloidosis. We reported a rare case of systemic amyloidosis with mesenteric node involvement, manifested as node enlargement.
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系统性淀粉样变性患者受累肠系膜淋巴结的影像学表现:1例报告
淀粉样变性是一种罕见的疾病,其特征是病变组织内异常的淀粉样蛋白沉积。约37%的患者表现为全身性淀粉样变,其中累及肝门、纵隔和主动脉旁淋巴结。淀粉样蛋白在肠系膜淋巴结的沉积很少有文献记载,但当报道时,它见于孤立的或继发性淀粉样变性。尽管淀粉样蛋白沉积的肠系膜结与恶性肿瘤、感染和炎症过程难以区分,但放射科医生应注意不同的影像学表现,以怀疑淀粉样变。我们报告一例罕见的系统性淀粉样变性伴肠系膜淋巴结受累,表现为淋巴结肿大。
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