舌下先天性异位支气管囊肿1例

发布时间：2018-08-31 12:12

【摘要】：正患者男,60岁,自出生始即舌下即出现一包块,因无症状,一直未予处理;3天前包块骤然增大,影响呼吸及进食。查体:包块占据整个口腔,致舌体不能伸出。CT:舌下方见一包块,边界清晰,CT值约36HU(图1A)。MRI:舌下部见类椭圆形短T1、稍长T2包块,大小约2.72cm×3.69cm×4.28cm,与周围组织界限清晰(图1B、1C)。超声:舌骨和下颌骨之间舌下部见包块,边界清,内部呈液性伴点状回声(图1D)。行口底肿物切除术,术后病理:肿物包膜完整,界限清,内含褐色液体,壁厚约
[Abstract]:The male patient was 60 years old. A lump appeared under the tongue immediately after birth. Because of asymptomatic symptoms, the mass suddenly increased 3 days before treatment, affecting breathing and eating. Body examination: the mass occupied the whole oral cavity, resulting in the tongue body not being able to protrude. CT: a mass was seen under the tongue. The CT value of the lower part of the tongue was about 36HU (Fig. 1A) .MRI: the lower part of the tongue appeared ellipsoid short T 1, slightly longer T 2 mass, the size of which was about 2.72cm 脳 3.69cm 脳 4. 28 cm, and the boundary with the surrounding tissue was clear (fig. 1B 1 C). Ultrasound: the lower part of the tongue between the hyoid bone and the mandible showed a mass with a clear boundary and a liquid interior with a punctate echo (Fig. 1D). Excision of the floor of the mouth, postoperative pathology: the capsule of the tumor is complete, the boundary is clear, it contains brown liquid, and the wall thickness is about.
【作者单位】：中国医科大学附属盛京医院放射科;
【分类号】：R782;R445.2;R816.98

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