腮腺Warthin瘤的CT诊断及鉴别诊断

发布时间：2018-02-25 02:19

本文关键词： 腺淋巴瘤腮腺肿瘤体层摄影术螺旋计算机　出处：《中国临床医学影像杂志》2017年03期 　论文类型：期刊论文

【摘要】：目的:探讨腮腺Warthin瘤的CT表现,提高对本病的诊断及鉴别诊断水平。方法:回顾性分析32例手术病理证实的腮腺Warthin瘤的临床及影像资料。结果:32例腮腺Warthin瘤患者共发现肿块53个,单侧发病24例(75.0%),单侧多发4例;双侧发病8例(25.0%),双侧多发3例;肿块位于腮腺浅叶后下象限45个(84.9%),位于深叶3个(5.7%),跨浅叶及深叶5个(9.4%);肿块多为圆形及椭圆形共47个(88.7%),呈分叶状或不规则状肿块6个(11.3%),肿块多为囊实性。增强后实性成分呈"快进快出"表现,囊性成分不强化,囊性成分表现为囊腔样、分隔状及"裂隙"征。结论:腮腺Warthin瘤CT表现具有特征性,CT结合临床特点对病变定性诊断及鉴别诊断有一定价值。
[Abstract]:Objective: to investigate the CT findings of parotid Warthin tumor. Methods: the clinical and imaging data of 32 cases of parotid Warthin tumor confirmed by operation and pathology were analyzed retrospectively. Results: 53 masses were found in 32 patients with Warthin tumor of parotid gland. There were 24 cases of unilateral disease, 75.0% and 4 cases of unilateral multiple, 8 cases of bilateral disease, 25.0% of bilateral and 3 cases of bilateral multiple. The mass is located in the posterior lower quadrant of the parotid gland, in the posterior quadrant of the parotid gland, in the lower quadrant of the parotid gland, in the deep lobe of the lower quadrant, in the deep lobe, in 3 layers, in the superficial lobe and in the deep lobe, in the middle of the lower quadrant, the mass is mostly round and oval in 47 cases, with 6 lobular or irregular masses, and most of the masses are cystic and solid. After enhancement, the masses are mostly cystic. The solid component is shown as "fast in and out". The cystic component was not enhanced, and the cystic component presented as cystic cavity, septum and "fissure". Conclusion: the CT features of parotid Warthin tumor have some value in qualitative diagnosis and differential diagnosis of parotid gland Warthin tumor combined with clinical features.
【作者单位】：河南省许昌市中心医院放射科;第四军医大学西京医院放射科;
【分类号】：R739.87;R730.44

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