摘要
目的:探讨舌癌的CT、MRI表现在舌癌诊断与治疗中的应用价值。方法:回顾性分析我院经病理证实的23例舌癌CT、MRl资料,并结合临床及病理资料深入分析。结果:23例患者之中,肿块位于舌侧缘14例,舌背面3例,舌根4例,舌尖2例。CT平扫示舌癌病灶呈不均匀软组织密度影,增强扫描病灶显著不均匀强化;MRI平扫显示病灶边缘较清晰,T1WI呈等-低混杂信号、T2WI呈等-高混杂信号,T1WI增强扫描不均匀强化;受侵颈部淋巴结可伴肿大,中心坏死囊变。结论:舌癌的CT与MRI均有助于舌癌的临床诊断与治疗方案的确定。
Objective：To analyze various CT and MRI features and its values in diagnosis of lingual squamous carcinoma.Methods：After searching through the pathology data bases in our hospital,we included 23 patients with lingual squamous carcinoma confirmed by pathology,then analyzed those CT and MRI with clinical feature and histopathologic data.Results：Among 23 cases,mass located in lateral margin of tongue（n=14）,dorsal of tongue（n=3）,root of tongue（n=4）,tip of tongue（n=2）,CT showed soft tissue density of the mass,after enchancement the mass showed hetergeneous high density.MRI showed clearly manifestations of the mass,the mass showed iso-hypointensity on T2WI and iso-hyperintensity on T1WI,after enchancement the mass showed hetergeneous high signal intensity.Metastasis neck lymph nodes could be seen enlarged with central necrosis and cytogenetic degeneration.Conclusion：CT and MRI are useful for diagnosis of lingual squamous carcinoma and also to guide clinical treatment.
出处
《医学影像学杂志》
2011年第6期835-838,共4页
Journal of Medical Imaging
关键词
舌鳞状细胞癌
体层摄影术
X线计算机
磁共振成像
Lingual squamous carcinoma
Tomography
X-ray computed
Magnetic resonance imaging
