摘要
目的分析舌病变的CT及MRI表现,评价影像检查在舌病变诊断中的应用价值。方法回顾性分析经手术、病理证实的28例舌病变患者资料,其中舌鳞癌20例,良性病变8例,比较分析其影像表现,并行统计学检验。结果 (1)20例舌鳞癌患者,在CT、MRI上表现为溃疡、浸润或疣型肿块影,增强扫描明显强化,与周围组织分界清;8例良性病变,除溃疡性嗜酸性肉芽肿和淋巴管瘤外,均未见肿块占位效应(χ2=13.621,P=0.000)。(2)MRI检查并有完整手术记录的7例舌鳞癌患者中,肿块最大径≥2 cm者6例,淋巴结转移5例,转移率为83.3%(5/6);肿块最大径<2 cm者1例,未发现淋巴转移。结论 CT、MRI对舌良、恶性病变的鉴别诊断具有价值。
Objective To investigate CT and MRI findings of tonguelesions. Methods MRI and CT images of 28 ca- ses with tongue lesions proved by pathology were analyzed retrospectively. Of the 28 cases, 20 were tongue cancer,8 were benign lesions. Results （ 1 ） In the group of tongue cancer , the tumors showed ulcer,infiltrate or nodule mass on CT and MRI images, with obvious enhancement and clear margins, while in the benign lesion group, these was no mass found, ex- cept ulcerative eosinophilic granuloma and lymphangioma（ X2 = 13. 621 ,P = 0.000）. （2） 7 patients with tongue cancer performed MRI examine and pathological examination. Lymph node metastasis rate was 83.3% （5/6）when the major diameter of tongue cancer on MRI was greater than or equal to 2 cm, while no case of lymph node metastasis found when the major diameter of tongue cancer less than 2 cm. Conclusion CT and MRI scan are valuable for differential diagnosis of tonue lesions.
出处
《临床放射学杂志》
CSCD
北大核心
2013年第8期1088-1091,共4页
Journal of Clinical Radiology
关键词
舌病变
体层摄影术
X线计算机
磁共振成像
Disease of tongue Tomography,X-ray computed Magnetic resonance imaging
