CT、MRI诊断咀嚼肌间隙肿瘤.pdfVIP

·852 · 2010 26 5 　Chin J Med Imaging Technol, 2010, Vol 26, No 5 　 CT and MRI diagnosis of tumors involving masticator space ＊ CHEN Xiao-li, WAN G Zhen-chang , X IAN J un-f ang, YAN GBen-tao, ZHANGZheng-y u, WANG Yong-zhe (Dep artment of adiology, Beij ing Tongren Hosp ital, Cap ital Medical University, Beij ing 100730, China) [Abstract] 　Objective　To observe CT and MRI features of tumors involving masticator space (MS), and to investigate the routes of tumors of surrounding structures invading MS.Methods　Fifty-seven patients ith primary or secondary MS tumors ere collected, among hich CT scanning as performed in 2 patients, M R imaging as done in 17, and 38 patients under ent both CT and MR examinations.All imaging data of CT and M R ere retrospectively analyzed.Results　Primary benign tumors in 6 patients ere ell-defined masses compressing masticator muscles and adjacent bones.The primary ma- lignant tumor of one patient displayed as an irregular mass ith unclear margin and bone destruction.Among 50 patients of secondary tumors, 14 tumors in the skull bases and orbit invaded MS via infraorbital fissure, 7 adenoid cystic carcinomas of the lacrimal gland and one leukemia involved MS through lateral all of orbit, 2 retinoblastomas transferred to MS, 9 sinon- asal and nasopharyngeal tumors invaded MS via sphenopalatine foramen, 15 maxillary sinus neoplasm s and one nasal-ethmoid sinus tumor involved MS through the posterior all of maxillary sinus, one tumor of pterygopalatine fossa directly extended to MS.More of secondary benign tumors ere ell-defined, compressed masticator muscles and bone compression.M ost secondary malignant tumors sho ed vague margin, effacement of the fat plane and bone d