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。
Objective： The CT findings of parotid Warthin tumors were studied to improve the ability of diagnosis and differential diagnosis of this disease. Methods： The clinical materials and imaging data of 32 cases of parotid Warthin tumors confirmed by surgery and pathology were retrospectively analyzed. Results： There were totally 53 lesions in 32 cases, of which 24 cases（75.0%） with lesions in unilateral side and 8 cases（25.0%） with lesions in bilateral sides. Among it there were 4 cases with unilateral multiple lesions and 3 cases bilateral multiple lesions. Moreover, we found 45 lesions in the posterior inferior quadrant of superficial lobe（84.9%）, 5 lesions in the inter-leaves（9.4%）, and 3 lesions in the deep lobe（5.7%）. There are 47 lesions（88.7%） with round or oval shape and 6 lesions（11.3%） with lobulated or irregular shape. The tumors are mostly with both solid and cystic components. After enhancement the solid components manifested as “fast wash-in and fast wash-out” pattern; the cystic components had no enhancement and manifested as cystic or separated cavity and “fissure sign”. Conclusion： The specific CT manifestations of parotid Warthin tumors combined with the clinical characteristics are useful for the qualitative diagnosis and differential diagnosis of this disease.
出处
《中国临床医学影像杂志》
CAS
北大核心
2017年第3期169-172,共4页
Journal of China Clinic Medical Imaging
