摘要
目的:讨论喉癌的 CT 表现及 CT 在评价喉癌浸润范围上的作用。材料与方法:对经临床病理证实的30例喉癌作回顾性分析,其中手术25例。术后整块喉癌连续大切片15例。结果:声门上癌13例(43.33%),声门癌5例(16.66%),跨声门癌12例(40%)。9例累及会厌前间隙和喉旁间隙,4例侵犯前联合,5例侵犯喉软骨,22例(73.33%)有颈淋巴转移,其中累及颈动脉19例(86.36%),淋巴结肿大伴有中心坏死7例(31.82%)。结论:CT 在判断喉癌的浸润范围上简单易行,准确可靠,但对淋巴结及软骨破坏的判断上仍有一定的局限性。
Objective:To discuss CT imagings of laryngeal carcinoma and judge the value of CT for establishing tumor extent. Materials and Methods:CT scans of 30 patients with primary laryngeal carcinoma comfirmed by operation and pathology were anal- ysed retrospectively,including 15 cases of serial section of the gross pathologic specimen excised.Results:13 cases of supraglottic type,5 of glottic type and 12 of transglottic type,9 cases of involving preepiglottic space(PES)and paralaryngeal space(PLS).4 of involving anterior commissure,5 of involving laryngeal cartilage.There were metastatic lymphotic node in 22 cases(73.33%)in- cluding 19 cases of involving carotid arteria(86.36%)and 7 of centric necrosis(31.82%).Conclusion:CT scan shown a simple, available and reliable for laryngeal carcinoma,but it has some limitation for evaluating tumor invasion of cartilage and lymph node.
出处
《临床放射学杂志》
CSCD
北大核心
1997年第1期18-20,共3页
Journal of Clinical Radiology
关键词
CT
喉癌
病理切片
对照
CT
Laryngeal carcinoma
Glottis
PES
PLS
Lymph node
Cartilage
