腮腺腺淋巴瘤CT诊断.docVIP

腮腺腺淋巴瘤CT诊断 　　【摘要】 目的 探讨腮腺腺淋巴瘤CT表现与临床特点，以提高其诊断准确率。方法 收集经手术及病理学证实的腮腺腺淋巴瘤患者11例，11例中男9例，女2例，分析病灶部位、数目、形态、大小、密度。结果 11例腮腺腺淋巴瘤中，5例病灶单发，6例多发，共20个病灶，其中13个(65%)病灶位于腮腺后下象限，CT显示病灶呈圆形、椭圆形及分叶状软组织肿块，边缘清晰，密度均匀7个，坏死囊变致密度不均匀13个；增强扫描病灶呈早期均匀强化，以中度强化为主，囊变区不强化。结论 腮腺腺淋巴瘤好发于50岁以上的男性，当肿块发生于腮腺浅叶后下象限，边界清楚，特别是病灶多发并伴局灶性坏死，增强后中度以上强化时应首先考虑本病。? 　　【关键词】 　　腮腺；腺淋巴瘤；体层摄影术;X线计算机 　　?? 　　 　　The CT diagnosis of adenolymphomas in parotid gland 　　 　　YIN Jun, LI Yi?hua, XIE Yong?gang. 　　Department of Radiology, Hengli Hospital of Dongguan,Dongguan 523460，China 　　? 　　 　　【Abstract】 Objective To discuss the CT findings and clinical characteristics of adenolymphomas in the parotid gland,and elevate the diagnostic accuracy.Methods 11 patients(9 men,2 woman) of parotid adenolymphomas proved by surgery and pathology were collected. The analysis of imaging characteristics included the position,number, shape, size, density.Results In 11 cases adenolymphomas of the parotid gland,solitary lesion was seen in 5 cases and multiple lesions in 6,altogether 20 lesions,13(65%) lesions were located in the posterior and inferior quadrant of the parotid gland.CT findings：lesions were round,oval or lobulated soft tissue mass with well?defined,homogeneous density(n=7),and inhomogeneous density(n=13)with necrosis or cystic formation.Lesions showed early homogeneous enhancement except the area of cystic changes,mostly with moderate enhancement.Conclusion Adenolymphoma of the parotid gland should be firstly considered when a male patient with the age over 50 years showing well?defined mass lesion (or lesions) located in the posterior?inferior quadrant of parotid gland,especially lesion is multiple and associated with local necrosis and moderate enhancement after administration of contrast medium.? 　　【Key words】 　　Parotid gland； Adenolymphoma；Tomography;X?ray computed 　　? 　　 　　? ??　作者单位：523460广东省东莞市横沥医院放射科 　　 　　 　　 　　腮腺腺淋巴瘤又叫Warthin’s瘤，是腮腺中较为常见的良性肿瘤，发病率约占腮腺肿瘤的5%~10%，仅次于多形性腺瘤，根据流行病学统计，腮腺腺淋巴瘤在国内以广东省的发病率最高，近年来发病率有上