56例鼻咽癌侵犯副鼻窦的MR影像分析（英文）.pdfVIP

Chinese-German Journal of Clinical Oncology December 2009, Vol. 8, No. 12, P719–P721 DOI 10.1007/s10330-009-0133-4 Study of MR image for involvement of paranasal sinuses in 56 cases with nasopharyngeal carcinoma Lusi Chen, Guangyu Wei, Xuefeng Hu, Xiaohong Zeng, Qiuxia Lu Department of Radiation Oncology, Cancer Hospital, Frist People’s Hospital of Foshan, Foshan 528000, China Received: 17 July 2009 / Revised: 20 August 2009 / Accepted: 25 September 2009 Abstract  Objective: The aim of the study was to study the nuclear magnetic resonance image (MRI) feature for involve- ment of paranasal sinuses in patients with nasopharyngeal carcinoma (NPC). Methods: The MRI of 56 patients with NPC and paranasal sinuses infringed were evaluated between December 2003 and August 2004. Results: Among them, 56 (100%) showed breakage in the wall of paranasal sinuses, 29 (51.8%) had thick mucous membrane in sinuses, 36 (64.3%) showed tumour invasion sinuses, 55 (98.2%) connected with primary carcinoma with the lesion, and 14 (25%) stored up fluid in si- nuses. On MRI scan technique, the positive ratios of diagnoses were 66.1%, 76.8%, and 98.2% respectively (P 0.000) in the horizontal section, coronal section and sagittal section. And nearly 60% was in the T1W1 and T2W1, but 100% in strengthen scan. Conclusion: The findings of sinuses wall breakage, thick mucous membrane in sinuses, tumour invasion cavity con- nective mass, and same enhancement signal in MR image may indicate the paranasal sinuses involved by primary tumour. The sagittal section and enhanced MRI scans are helpful to diagnosis. Key words nasopharyngeal carcinoma (NPC); paranasal sinuses; nuclear magnetic resonance image (MRI) The nuclear magnetic resonance image (MRI