腮腺腺淋巴瘤MRI诊断与鉴别诊断.docVIP

腮腺腺淋巴瘤MRI诊断与鉴别诊断 　　【摘要】 目的 探讨腮腺腺淋巴瘤MRI表现特点，评价MRI对其诊断价值。方法 回顾性分析经手术病理证实的18例腮腺腺淋巴瘤MRI特征性表现，影像学重点分析包括病灶的数目、部位、大小、形态、边缘、信号、强化特征等。结果 18例腮腺腺淋巴瘤患者中，男16例(94.4%)，女2例，50岁以上14例(77.8%)；18例患者中共发现32个病灶，单侧单发10例，单侧多发5例，双侧多发 3例，32个病灶中26个位于腮腺浅叶后下方；病灶一般呈圆形或椭圆形，边界清楚、光滑； T1WI多表现为等、稍高信号，T2WI及压脂T2WI均为混杂信号，增强后表现为轻中度强化。结论 50岁以上的男性患者，MRI发现腮腺浅叶的后下象限病灶，边界清楚，有轻中度强化，尤其多发者，诊断时应先考虑腮腺腺淋巴瘤。? 　　【关键词】 　　腺淋巴瘤：腮腺肿瘤：磁共振成像 　　?? 　　 　　MRI diagnosis And differentical diagnosis of parotid adenolymphomas 　　 　　ZOU Guang?cheng，LIANG Hong，PENG Tao,et al. Department of radiology，Zhaoqing First Hospital,Zhaoqing 510000, China 　　? 　　 　　【Abstract】 Objective To investigate the MRI characteristics of the parotid adenolymphomas and evaluate the diagnostic values of MRI. Methods The MRI characteristics of 18 patients with adenolymphomas in parotial were restospectively analyzed.The imaging characterisitics analysis included the position,number,size,shape,intensity of signas and enhance characterisitics of the focus.Results Among 18 patients,16 were male and 2 were female.A total of 14(77.8%) were over 50 years old.10 were solitary and 8 were multiple lesions.26 lesions located in the posterior and inferior quadrant.On MRI,lesions were round,oval in shape,well?defined,presenting as intermediate or high signal intersity on T1WI；hetergencous high and intermediate signal intensity on T2WI orFS T2WI, and signal to marked mild or moderate enhancement after contrart administration. Conclusion Adenolymphomas of the parotid should be first considered when the male patient over 50 years has lesions located in the posterior and inferior quadrant and with well?defined border,especially when the lesion is multiply or biraterally located.? 　　【Key words】 　　Adenolymphomas；Parotid tumor；Magnetic resonance imaging 　　? 　　 　　? 　　作者单位：526021广东省肇庆市第???人民医院MR室 　　 　　 　　 　　腮腺腺淋巴瘤又称Warthin?s瘤或淋巴乳头状囊腺瘤，是好发于腮腺的一种生长缓慢的良性肿瘤，在腮腺肿瘤中仅次于多形性腺瘤，近年来发病率有不断上升的趋势［1］，且与吸烟关系密切，笔者搜索本院2006年8月至2009年7月间经手术病理证实的18例腮腺腺淋巴瘤，旨在提高对本病的认识，并就腮腺腺淋巴瘤MRI影像