鼻腔鼻窦腺样囊性癌的CT诊断与病理表现  

作　　者：徐峰[1] 朱蒙蒙[1] 王前玉 杨献峰[2] 

机构地区：[1]江苏省南京鼓楼医院集团宿迁市人民医院影像科,223800 [2]南京鼓楼医院放射科

出　　处：《中国实用医药》2010年第36期37-38,共2页China Practical Medicine

摘　　要：目的分析和探讨鼻腔鼻窦腺样囊性癌(adenoid cystic carcinoma ACC)的CT表现,提高该病诊断水平。方法对10例经手术和病理证实为腺样囊性癌病例进行回顾性分析,肿瘤原发于上颌窦6例,筛窦3例,鼻腔1例,均侵犯邻近骨壁及窦腔或眼眶。结果 10例患者鼻窦内见软组织影,窦壁骨质呈膨胀性溶骨性破坏或者筛孔样骨质破坏,窦腔轮廓消失。结论腺样囊性癌是一种鼻腔和鼻窦内少见的恶性肿瘤,生长缓慢,症状隐匿,CT平扫和增强具有一定特征性,可以作为与其他鼻窦鼻腔恶性肿瘤鉴别点,但是不具有特异性,需依靠病理确诊。Objective To analysis and explore the CT performance of sinus and nasal adenoid cystic carcinoma,improve disease diagnosis.Methods 10 cases of pathologically confirmed ACC were retrospectively analyzed,primary tumor of 6 cases maxillary sinus,ethmoid sinus in 3 cases,nasal cavity in 1 case,bothe to adjacent bone wall and sinuses,or eyes.Results Sinus soft tissue shadow were seen in all 10 patients.Sinus wall was expansve osteolytic bone destruction or sieve-like bone destruction,sinus contours dispear.Conclusion Adenoid cystic carcinoma of the nasal cavoty and paranasal sinuses is a rare malignant tumor,slow growing,symptoms hidden.Plain and enhanced CT has a certain characteristic can be used as nasal sinus cancer and other identification point,but no specific,need to rely on the pathological diagnosis.

关 键 词：鼻窦和鼻腔 腺样囊性癌 病理表现 

分 类 号：R739.62[医药卫生—肿瘤]