摘要
目的:探讨甲状舌管囊肿CT表现及手术病理的关系。材料与方法:回顾性分析13例经手术病理证实的甲状舌管囊肿的CT、临床及手术病理资料。结果:13例中8例位于颈部中线,5例偏左侧,CT均表现为圆形或类圆形囊性占位,8例囊壁光整,增强后无强化;5例囊壁毛糙,部分强化,镜下见炎性细胞浸润;3例见囊壁不规则增厚内见结节并强化,镜下为血管,横纹肌及结缔组织,1例甲状舌管囊肿异甲状腺癌,1例乳头状腺癌;较小者CT往往不易显示。结论:CT检查可以对甲状舌管囊肿作出正确诊断,为临床医生手术治疗提供很大帮助。
Purpose： To explore the relationship between CT manifestations and the surgical pathology of thyroglossal duct cyst. Materials and Methods： The CT manifestations, the clinical data and surgical pathology data in 13 cases of pa- tients with thyroglossal duct cyst confirmed by surgery pathology were retrospectively analyzed. Results： The 8 of 13 cases lo- cated in the neck line, the 5 cases were on the left side of neck. The thyroglossal duct cysts were showed round or oval cystic mass, the wall of 8 cases were homegenous and smooth with no enhancement; the wall of 8 cases were coarse with partial en- hancement, and the inflammatory cell invasion were found under the microscope, The nodules in the irregularly thickened wall seen to be enhancement of 3 cases, were blood vessels, striated muscle and connective tissue under the microscope, 1 case of ectopic thyroid cancer, a tongue tube cyst 1 case of papillary adenocarcinoma; The smaller nodules were often not easy to be shown by CT. Conclusion： Thyroglossal duct cyst can be correctly diagnosed by CT scan and it will be greatly helpful for sur- gical treatment.
出处
《现代医用影像学》
2015年第4期610-612,共3页
Modern Medical Imageology
关键词
甲状舌管囊肿
诊断
thyroglossal duct cyst
spiral CT
diagnosis
