涎腺腺样囊性癌的ct、mri表现及病理对照研究.docVIP

涎腺腺样囊性癌的CT、MRI表现及病理对照研究 刘灶松 叶瑶 魏新华 吴梅 李丽琪 广州市第一人民医院放射科 广州市第一人民医院病理科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 分析涎腺腺样囊性癌 (adenoid cystic carcinoma, ACC) 的CT与MRI表现及病理基础。方法 回顾性分析经病理证实的22例ACC的CT与MRI表现, 并与病理结果进行对照研究。结果 22例患者中, 发生于腮腺7例、上颌窦3例、舌3例、下颌下腺3例、鼻腔2例、筛窦2例、腭1例、气管1例, 形态较规则14例, 不规则形8例;直径10mm53mm, 平均约29mm;14例行CT检查, 平扫5例为均匀等、稍低密度, 9例为不均匀等低密度, 增强扫描4例均匀强化, 10例不均匀强化, 内见小斑片状、筛孔状未强化区。8例行MRI检查, T1WI为均匀或不均匀等、低信号, T2WI主要为混杂高信号, 6例内见小斑片状、筛孔状更高信号区, 增强扫描2例均匀强化, 6例不均匀强化, 内见小斑片状、筛孔状未强化区。周围结构侵犯9例, 淋巴结转移3例, 远处转移1例。结论ACC的病理基础决定其影像表现, CT及MRI增强扫描ACC易出现小斑片状、筛孔状未强化区域, 并且CT与MRI检查对判断肿瘤侵犯范围起重要作用。 关键词： 腺样囊性癌; 磁共振成象; 体层摄影, X线计算机; 病理学; 收稿日期：2017-09-26 The CT and MRI Findings and Pathological Basis of Adenoid Cystic Carcinoma of the Salivary Glands LIU Zao-song YE Yao WEI Xin-hua Department of Radiology, Guangzhou First Peoples Hospital; Abstract： Objective To investigate the CT and MRI findings and pathological basis of adenoid cystic carcinoma (ACC) of the salivary glands. Methods The CT or MRI findings of 22 ACC of the salivary glands confirmed by pathology were retrospectively analyzed, and were compared with pathological results. Results The tumors occurred in parotid gland (7 cases) , maxillary sinus (3 cases) , sublingual (3 cases) , submandibular gland (3 cases) , nasal sinus (2 cases) , palatum (2 cases) , trachea (1 cases) ; 14 cases were in regular shape, 8 cases were in irregular shape. The tumor diameter ranged from 10 mm to 53 mm with a mean value of 29 mm. Fourteen cases underwent CT examination, isodensity or low density were revealed on plain CT scan, 5 cases were with homogenous density and 9 cases were with heterogeneous density. On contrast-enhanced CT, homogenous enhancement were observed in 4 cases, heterogeneous enhancement with small patchy or cribriform non-enhanced region were observed in 10 cases. Eight cases underwent MRI examination, T1WI showed iso-or hypointense, T2WI showed heterogeneous hyperintense, small patch