Head and Neck Imaging

Image Features of Low-grade Myofibroblastic Sarcoma of the Paranasal Sinus*

Author:杨晓燕1 董 帜2 周丽莎2 崔敏毅3 冯仕庭2

affiliation:1.广州中医药大学深圳附属医院放射科(广东 深圳 510080) 2.中山大学附属第一医院放射科(广东 广州 510055) 3.中山大学附属口腔医院放射科(广东 广州 510055)

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Abstract

Objective To evaluate the image features of low-grade myofibroblastic sarcoma(LGMS) of paranasal sinus, and improve the diagnostic accuracy. Materials and Methods A retrospective analysis of 5 cases of paranasal sinus LGMS was carried out. Of the 5 patients, all of them underwent common CT, 1 patient underwent contrastenhanced CT and 4 underwent common MRI and contrast-enhanced MRI. Results Of the 5 patients, 2 occurred in the right maxillary sinus and ethmoidal sinus, 2 occurred in the sphenoid sinus and ethmoidal sinus, 1 occurred in all of the left paranasal sinus. CT scan showed hypo-indense and iso-indense soft tissue mass in the paranasal sinus. T1WI showed isointense mass and T2WI showed isointense and hyperintense mass. Contrast images showed moderate-obvious homogeneous enhancement. All of the 5 cases showed bone destruction. Conclusion LGMS of the paranasal sinus can be characterized as a soft tissue mass with bone destruction, but it is difficult to differentiate from other malignant diseases. Image features can help to determine the extent of the lesion.

【Keyword】Low-grade Myofibroblastic Sarcoma; Paranasal Sinus; Tomography, X-ray Computed; Magnetic Resonance Imaging

【Chart number】R445.3;R739.6

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672-5131.2015.01.14