论著-头颈部
原发性腮腺淋巴瘤的MR表现与病理对照研究
作者:谢 东1 张 卫1 康 巍1 徐茂林1 王丽莉2 韦 苇1 赵 欣1 苏丹柯1
所属单位:1.广西医科大学附属肿瘤医院影像 中心(广西 530012) 2.广西医科大学附属肿瘤医院骨软 组织神经外科(广西 530012)
PDF摘要
目的探讨原发性腮腺淋巴瘤的 MR表现并分析其病理基础。方法 回顾性 分析经手术病理证实的5例腮腺淋巴瘤 的MRI表现,结合病理及相关文献,分析 其MR的表现特点。结果 5例腮腺单发肿 块,T1WI呈略高或等信号,T2WI呈高信 号,信号较均匀,2例可见包膜且增强后 呈环状强化,5例淋巴瘤均累及腮腺深浅 叶及合并患侧颈部淋巴结肿大,5例淋巴 瘤的ADC值为(0.536±0.037)×10-3mm2 / s,TIC曲线类型3例表现为B型,2例表现 为C型。腮腺导管水成像仍可见正常走行 及分支自然的高信号导管影存在。结论 根据MR形态表现及功能学特点,可提示 原发性腮腺淋巴瘤的诊断。
Objective To investigate the pathological base and MRI characteristics of primary parotid lymphoma. Methods MR findings of 5case of primary parotid lymphoma were analyzed retrospectively and confirmed by surgical pathology were reviewed in detail, and the literature were reviewed. Results All cases showed slightly hyper-intense or iso-intense on T1WI and uniform hyper-intense on T2WI, 2 case with capsule and had ringlike enhancement. All cases involved both the light leaf and depth leaf, and cervical lymph nodes enlargement could be seen at the affected side. The ADC value of this 5cases is 0.536±0.037, TIC curve of 3 cases shows as B type, and the other 2's showed as C type.The magnetic resonance sialography(MRS) showed normal parotid duct signal intensity. Conclusion The characteristic MRI manifestations could prompted the diagnosis of primary parotid lymphoma.
【关键词】原发性腮腺淋巴瘤;磁共振成像
【中图分类号】R739.9; R814.42
【文献标识码】A
【DOI】10.3969/j.issn.1672-5131.2015.10.001
前言
原发性腮腺淋巴瘤(Primary Parotid Lymphoma,PPL)常以耳前肿 块为首发症状,临床极少见,文献报道不多[1-2]。影像学检查对术前病 变的定位、定性及显示腮腺周围结构侵犯情况尤为重要。本文搜集经 手术病理证实的有MRI检查资料的PPL 5例,结合相关文献,探讨PPL的 MR形态学表现及功能学特点,旨在提高对腮腺淋巴瘤的诊断水平。
中国CT和MRI杂志
第13卷, 第 10 期
2017年10月
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