MRI在舌鳞状细胞癌中的临床应用  

Clinical application of magnetic resonance imaging in patients with oral tongue squamous cell carcinoma

作　　者：赖其敏[1] 方朝新[1] 刘业宁[1] 李浩[2] 

机构地区：[1]开平市中心医院耳鼻咽喉科,广东开平529300 [2]华南肿瘤学国家重点实验室中山大学肿瘤防治中心头颈科

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第12期862-864,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:通过与术后病理对照,分析舌鳞状细胞癌颈淋巴结转移MRI征象及客观诊断指标,探讨MRI在诊断舌鳞状细胞癌颈部淋巴结转移中的临床价值。方法:对36例舌鳞状细胞癌患者共计115个淋巴结进行MRI术后病理对照分析。结果:舌鳞状细胞癌颈部转移淋巴结在MRI上多数存在微观的淋巴结受侵润征象。舌鳞状细胞癌转移与非转移淋巴结横径差异有统计学意义,但两者T2信号强度差异无统计学意义。结论:MRI可在术前为舌鳞状细胞癌患者提供有效信息,常规MRI图像上肿大淋巴结横短径可作为诊断受到侵润的一个参考指标。Objective：To explore MRI signs and objective diagnosis index of metastatic cervical lymph node from tongue squamous carcinoma,and to investigate the clinical role of MRI in the diagnosis of tongue carcinoma with cervical lymph node metastasis. Method： MRI features of a total of 115 lymph node in 36 patients with tongue squamous carcinoma were analysed comparatively with postoperative pathologic results. Result： Most metastasis lymph nodes of tongue squamous carcinoma represented with signs of microscopic invasion on MRI. The short diameter between metastatic lymph nodes and nonmetastatic lymph nodes have statistically significance, while T2 Signal intensities between them have no statistically significance. Conclusion：MRI can provide effective information for tongue squamous carcinoma patients preoperatively. The short diameter in the axial plane of conventional MR is an important sign for lymph node metastasis of tongue squamous cell carcinoma.

关 键 词：舌肿瘤 MRI 淋巴结转移 

分 类 号：R739.86[医药卫生—肿瘤]