腮腺基底细胞腺瘤增强CT特征.PDFVIP

中华临床医师杂志( 电子版)2015 年2 月第9 卷第3 期 Chin J Clinicians(Electronic Edition),February 1,2015,Vol.9,No.3 ·427 · ·临床论著· 腮腺基底细胞腺瘤的增强CT 特征 杨军 廖承德 李勤勍 飞勇 杨光军 【摘要】 目的 探讨腮腺基底细胞腺瘤的CT 表现，尤其是增强特征以及鉴别诊断。方法 回顾性分 析经病理证实9 例腮腺基底细胞腺瘤的CT 表现：9 例均行CT 平扫和增强扫描；观察病灶形态学特 征及强化方式，测量肿瘤平扫及双期增强CT 值，计算净强化值，并与 16 例多形性腺瘤和 16 例腺 淋巴瘤进行对照分析。结果 腮腺基底细胞腺瘤 CT 平扫均表现为腮腺内单发的类圆形病灶，边界 清楚，呈均匀的稍高密度，平均CT 值约 （38.2 ±9.1 ）HU ，与多形性腺瘤及腺淋巴瘤的平扫CT 值 相比无统计学差异（P ＞0.05 ）。增强扫描，肿瘤实质部分呈明显强化，动脉期净强化值约（54.9 ±8.6 ） HU ，静脉期强化程度持续增加，净强化值约 （ 63.0 ±10.7）HU 。动脉期：肿瘤实质部分的强化程度 高于多形性腺瘤 （P ＜0.01 ），但与腺淋巴瘤无统计学差异 （P ＞0.05 ）；静脉期：肿瘤实质部分的强 化程度均高于多形性腺瘤及腺淋巴瘤（P ＜0.01 ）。结论 腮腺基底细胞腺瘤的CT 表现为腮腺单发病 灶，多发生于浅叶，边缘规则，增强扫描明显强化，且呈 “快进慢出”持续、渐进性强化特点。 【关键词】 腮腺肿瘤； 肿瘤，基底细胞； 腺瘤； 体层摄影术，X 线计算机 CT enhancement features of basal cell adenoma in parotid gland Yang Jun, Liao Chengde, Li Qinqing, Fei Yong, Yang Guangjun. Department of Radiology, The Tumor Hospital of Yunnan Province, The Third Affiliated Hospital of Kunming Medical University, Kunming 650118, China Corresponding author: Li Qinqing, Email: qinqing_81@139.com 【Abstract 】 Objective To investigate the CT appearances, especially the enhancement features of basal cell adenoma (BCA) in parotid gland, and the differential diagnosis of this disease. Methods All the 9 cases received plain and enhanced CT scanning, and the CT imaging findings of 9 patients with BCA confirmed by pathology after surgical resection were analysed retrospectively. The morphology features and the enhancement way were studied. The size of the BCA and the CT value which in the same area of lesion in plain scan and double phase enhanced CT were measured and compared with those of pleomorphic adenoma (n=16) and adenolymphoma (n=16) in the same period. Net enhancemen