婴儿鼻腔纤维瘤病1例

发布时间：2018-04-25 04:37

本文选题：纤维瘤 + 婴儿　；参考：《中国医学影像技术》2014年04期

【摘要】：正患儿男,1岁,因"右眼疑似不转动1年"入院。患儿出生后不久即被发现右眼球不能转动、右上眼睑下垂。眼底检查未见明显异常。影像学检查:副鼻窦CT平扫示双侧上颌窦黏膜增厚,右侧鼻腔内见软组织密度影填充,并突入右侧筛窦及上颌窦,使窦腔扩大,窦壁骨质变薄,鼻中隔向左偏曲(图1)。头颅MR平扫示右侧鼻腔内较均匀等T1等T2异常信号(图2),FLAIR呈等信号,DWI呈略低信号,增强后明显均匀强化;病灶形态规则,边界清楚,呈膨胀性生长,压迫邻近筛窦及上颌窦,向后压迫右侧眼眶后方致视神经管狭窄,视神经受压移位。
[Abstract]:A 1-year-old male patient was admitted to hospital because his right eye was suspected not to rotate for 1 year. Soon after birth, the child was found to be unable to turn the right eye ball and droop the right upper eyelid. Fundus examination showed no obvious abnormality. Imaging examination: paranasal sinus CT showed bilateral maxillary sinus mucosa thickening, soft tissue density filling in the right nasal cavity, and projecting into the right ethmoid sinus and maxillary sinus. The sinus cavity was enlarged, the sinus wall was thinned, and the nasal septum was deviated to the left (Fig. 1). Cranial Mr plain scan showed that the right nasal cavity had a more homogeneous iso-T _ 1 and T _ 2 abnormal signal (Fig. 2) flair showed a slight low signal intensity on the same signal intensity and obvious homogeneous enhancement after enhancement, the lesion had regular shape, clear boundary and expansive growth, and compressed the adjacent ethmoid sinus and maxillary sinus. Posterior compression of the right orbital resulted in stenosis of the optic canal and compression and transposition of the optic nerve.
【作者单位】：兰州大学第二医院放射科;
【分类号】：R739.62

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