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头颈部结外淋巴瘤的影像诊断

张建新 杨晓棠 王艳艳 陈麦林 王峻

CT理论与应用研究2012,Vol.21Issue(2):269-276,8.
CT理论与应用研究2012,Vol.21Issue(2):269-276,8.

头颈部结外淋巴瘤的影像诊断

The Imaging and Pathological Analysis of Extranodal Lymphoma in Head and Neck

张建新 1杨晓棠 1王艳艳 1陈麦林 2王峻3

作者信息

  • 1. 山西省肿瘤医院MR/CT室,太原030013
  • 2. 北京大学肿瘤医院影像科,北京100142
  • 3. 山西医科大学第二医院放射科,太原030012
  • 折叠

摘要

Abstract

Objective:To explore the imaging and clinical features of extranodal lymphoma in head and neck. Methods:51 extranodal lymphoma patients in head and neck were confirmed by surgery and pathology.The CT and MR images data were analyzed in comparison with surgical and pathological results.Diagnostic value of the CT and MR imaging were analyzed.Results:All 51 cases were non-Hodgkin lymphoma(NHL).Among all cases B-cell lymphomas accounted for 62.75%(32 cases).19 cases were T-cell lymphoma(37.25%).The most common site of extranodal lymphomas located in nasal cavity and pharynx ring.23 cases in nasal cavity(45.10%), 20 cases in pharynx ring(39.22%),The rest part 8 cases(15.69%),include:3 cases in orbit,2 cases in laryngeal, 2 cases in thyroid and 1 case in parotid.The lymph nodes metastases were observed in 18 cases.According tumor form all lymphoma were divided into three types:31 cases single mass type(60.78%),17 cases diffuse swelling type(33.33%),2 ulcer or necrotic type(5.89%).Conclusion:CT and MR images showed the special characteristics of head and neck extranodal lymphoma.Combined with clinical characteristics the imaging examinations could indicate the location,morphology,surrounding tissue and lymph nodes metastases and have great value in clinical diagnosis,staging and treatment.

关键词

头颈部肿瘤/结外淋巴瘤/磁共振成像/体层摄影术/X线计算机/病理分型

Key words

head and neck neoplasms/extranodal lymphoma/magnetic resonance imaging/tomography/X-ray computed/clinical and pathology

分类

医药卫生

引用本文复制引用

张建新,杨晓棠,王艳艳,陈麦林,王峻..头颈部结外淋巴瘤的影像诊断[J].CT理论与应用研究,2012,21(2):269-276,8.

基金项目

山西省卫生厅科技攻关资助项目 ()

CT理论与应用研究

OACSTPCD

1004-4140

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