摘要
目的 探讨舌骨上颈部常见疾病的生长特点及MRI诊断价值。资料与方法 良性肿瘤 8例 ,包括神经鞘瘤 3例 ,囊状淋巴管瘤 2例 ,脊索瘤 2例 ,脂肪瘤 1例 ;恶性肿瘤 4 0例 ,包括鳞状细胞癌 2 0例 ,转移瘤 12例 ,淋巴瘤 6例 ,未分化癌 2例。 4 8例中手术病理证实 2 0例 ,穿刺活检证实 2 7例 ,典型MRI特征结合病史确诊 1例。结果 8例良性肿瘤均表现为跨间隙病变 ;恶性肿瘤中 7例鳞状细胞癌、2例未分化癌和 1例转移瘤表现为跨间隙病变 ;10例转移瘤、5例鳞状细胞癌和 2例淋巴瘤表现为多间隙病变 ;8例鳞状细胞癌、4例淋巴瘤和 1例转移瘤既呈跨间隙又表现为多间隙病变。结论 良性肿瘤生长较大时可呈跨间隙生长 ,以神经鞘瘤、囊状淋巴管瘤、脂肪瘤和脊索瘤多见 ;恶性肿瘤易于跨间隙或多间隙生长 ,既呈跨间隙又出现多间隙生长时 。
Objective To investigate the diagnotic value of MRI and the growth pattern of common diseases in suprahyoid neck.Materials and Methods 8 benign tumors included 3 schwannomas, 2 lymphangiomas, 2 chordromas,1 liopmas. 40 malignant tumors included 20 squamous cell carcinomas, 12 metastases, 6 lymphomas, 2 undifferentiated cancers.20 cases were proved by surgical pathology, 27 cases were confirmed by biopsy, 1 cases were proved by typical MRI signal with clinic history.Results 8 benign tumors were displayed as transpatial lesions. Transpatial lesions were found in malignant tumors included 7 squamous cell carcinomas, 2 undifferentiated cancer and 1 metastase. 10 metastases, 5 squamous cell carcinomas and 2 lymphomas were shown as multispatial lesions. 8 squamous cell carcinomas, 4 lymphomas and 1 metastase were displayed as both transpatial lesions and multispatial lesions.Conclusion Benign tumors could be displayed as transpatial lesions if they had large size, which commonly existing in schwannomas,lymphangiomas, chordomas, liopmas. It was easy for malignant tumors dispaying transpatial lesions or multispatial lesions. Squamous cell carcinoma and lymphoma were commonly displayed as both transpatial lesions and Multispatial lesions.
出处
《临床放射学杂志》
CSCD
北大核心
2004年第11期946-949,共4页
Journal of Clinical Radiology