摘要
目的分析腮腺基底细胞腺瘤和腺淋巴瘤的临床资料及MSCT表现,为鉴别两者提供依据。方法回顾性分析2014年1月至2019年1月我院经手术病理证实的14例腮腺基底细胞腺瘤及60例腺淋巴瘤患者的临床体征、性别、发病年龄、发病部位、病程、病灶大小、数目、平扫密度、形态、边界、强化特征。结果腮腺腺淋巴瘤好发于老年男性,而基底细胞腺瘤好发于女性,好发年龄较腺淋巴瘤年轻约十岁(P<0.05)。腮腺基底细胞腺瘤较腺淋巴瘤具有单发病灶、体积较小的特点(P<0.05)。腺淋巴瘤较基底细胞腺瘤平扫密度较高(P<0.05)。增强扫描动脉期两者均可以明显强化,静脉期基底细胞腺瘤持续强化,而腺淋巴瘤强化回落明显(P<0.05)。两者在临床体征、病程、发病部位、形态、边界差异均无统计学意义(P>0.05)。结论鉴于腮腺基底细胞腺瘤与腺淋巴瘤的MSCT表现具有一定的差异改变,MSCT可有效对两者鉴别诊断。
Objective To provide the differential diagnosis basis of Warthin's tumor and basal cell tumor(BCA)of parotid gland by analyzing the clinical materials and MSCT features.Methods In 14 cases of BCA of parotid gland and 60 cases of Warthin's tumor proved by pathology from Jan 2014 to Jan 2019 in our hospital,the clinical signs,gender,age,disease sites,disease duration,size,amount,density,shape,boundary,and enhancement features were analyzed retrospectively and compared.Results It was found that Warthin's tumor occurred mostly in middle-age and aged male,whereas BCA usually occurred in female,and the age of onset of BCA was ten years younger than that of Warthin's tumor(P<0.05).Compared with Warthin's tumor,BCA has the features of single lesion and smaller volume(P<0.05).The density of plain scan of Warthin's tumor was higher than that of BCA(P<0.05).The amplitude of enhancement of BCA was significantly higher than that of Warthin's tumor(P<0.05).There were no significant different of clinical signs,disease duration,disease sites,shape,and boundary between BCA and Warthin's tumor(P>0.05).Conclusion MSCT features of BCA and Warthin's tumor have certain differences,and MSCT can be used to diagnose both.
作者
廖建勇
杜静波
刘迎新
勾振恒
苏晓华
LIAO Jian-yong;DU Jing-bo;LIU Ying-xin;GOU Zhen-heng;SU Xiao-hua(Department of Radiology,Daxing Teaching Hospital of Capital Medical University,Beijing 102600,China)
出处
《中国CT和MRI杂志》
2021年第8期45-47,共3页
Chinese Journal of CT and MRI
关键词
腮腺
基底细胞腺瘤
腺淋巴瘤
多层螺旋CT
Parotid Gland
Basal Cell Adenoma
Adenolymphoma
Multi-slice Spiral CT
