摘要
目的对比病理结果分析,旨在提高对颈外侧区良恶性病变MSCT诊断和鉴别诊断认识。方法回顾分析69例颈部病变的病理结果及CT表现,对良恶性病灶的边界不清、病灶融合、血供丰富、多发病灶及环状强化情况进行统计分析。结果恶性病变44例:淋巴结转移性癌32例,淋巴瘤10例,恶性孤立性纤维性肿瘤1例,颌下腺多形性腺瘤恶变1例;良性病变25例:炎性病变16例,良性肿瘤5例,囊肿3例,脂膜炎1例;颈部良恶性病变影像表现,边界不清:恶性病变40例,良性病变4例;病灶融合:恶性35例,良性7例;血供丰富:恶性36例,良性13例;多发病灶:恶性39例,良性13例;环状强化:恶性18例,良性13例。结论颈外侧区病变以淋巴结转移性癌多见;CT较常见征象为环状强化伴中央坏死,但良恶性病变其病理基础不同;边界不清及病灶融合可作为良恶性鉴别诊断的参考依据,而病变要准确定性则需结合临床资料及最终依靠病理和免疫组化。
Objective Comparative pathological analysis,Objective to improve the diagnosis and differential diagnosis of benign and malignant lesion MSCT.Methods The pathological results and CT findings of 69 cases of neck lesions were retrospectively analyzed.The borderline of benign and malignant lesions,fusion of lesions,rich blood supply,multiple lesions and Ring to strengthen were analyzed.Results 44 cases of Malignant lesions.There were 32 cases of lymph node metastatic carcinoma and 10 cases of lymphoma,1 case of malignant solitary fibrous tumor,1 case of malignant transformation of pleomorphic adenoma of the submandibular gland.25 cases of benign lesions.There were 16 cases of inflammatory disease,5 cases of benign tumor,3 cases of cyst and 1 case of panniculitis.Image performance of benign and malignant cervical lesions.Borderline:40cases of malignant lesions,4 cases of benign lesions.Lesion fusion:35 cases of malignant lesions,7 cases of benign lesions,rich blood supply:36 cases were malignant lesions and13 were benign lesions.Multiple lesions:39 cases malignant lesions and 13 benign lesions.Ring to strengthen:malignant lesions 18 cases,benign lesions 13 cases.Conclusion The lesion in the lateral area of the neck was frequently seen with lymph node metastatic carcinoma.CT is more commonly seen as annular enhancement with central necrosis.However,the pathological basis of benign and malignant lesions is different.Boundary ambiguity and lesion fusion can be used as a reference for benign and malignant differential diagnosis.In order to accurately determine the lesion,it is necessary to combine clinical data and ultimately rely on pathology and immunohistochemistry.
作者
陈更瑞
CHEN Geng-rui(Department of Radiology,the People's Hospital of Beihai Guangxi Zhuang Autonomous Region,Beihai 536000,Guangxi Province,China)
出处
《中国CT和MRI杂志》
2019年第1期56-60,共5页
Chinese Journal of CT and MRI
关键词
颈外侧区病变
诊断
鉴别诊断
多层螺旋CT
体层摄影术
Lesions in the Lateral Area of the Neck
Diagnosis
Differential Diagnosis
Multi-slice Spiral CT
Tomography Diagnosis
