摘要
目的探讨CT和MRI对颌面区Kimura病的诊断价值，旨在提高对Kimura病的认识。资料与方法回顾性分析6例经病理证实的腮腺区Kimura病的临床、CT和MRI表现。结果6例Kimura病病程长（平均5．5年），表现为面部和腮腺区无痛性肿大或肿块（其中1例双侧肿大），皮肤瘙痒。所有患者血常规嗜酸性粒细胞均明显增多（平均超出正常值约5～6倍）。CT和MRI表现为：（1）单侧或双侧腮腺浅叶弥漫性增大，常有多个结节；（2）累及并侵犯面部皮下组织，邻近皮肤增厚；（3）腮腺周围、颌下周围和颈深上淋巴结增大，增大的淋巴结密度或信号均匀，边界清楚光滑，无坏死、囊变，几乎不融合。结论Kimura病有一定的临床和影像特点，结合实验室检查，术前可以正确诊断。
Objective To improve the cognition of Kimura disease. Materials and Methods The clinical and imaging findings of 6 cases with Kimura disease in Maxillafacial Region were retrospectively analyzed. Results 6 cases with Kimura disease had long clinical courses （averaged 5.5years）, with asymptomatic parotid and regional lymphnodus swelling and skin itch. All 6 cases had the rise of ECC, On CT and MRI, diffusely swelling of the parotid were depicted with skin thickened and regional lymphnodus enlarged. The density of the masses and lymphnodus was homogeneous without necrosis and cyst. Conclusion The clinical and imaging findings of Kimura disease have some characteristic features, the diagnosis can be made combined with the laboratory examination before operation.
出处
《临床放射学杂志》
CSCD
北大核心
2006年第11期1016-1018,共3页
Journal of Clinical Radiology
