头颈颌面部Kimura病的CT表现  

CT characteristics of Kimura disease in the neck and maxillofacial region

作　　者：谢金华 梁海毛[2] 黎庆权 吴兆华 

机构地区：[1]中山市东凤人民医院放射科,广东中山528425 [2]中山市小榄人民医院放射科,广东中山528415

出　　处：《影像诊断与介入放射学》2015年第3期229-232,共4页Diagnostic Imaging & Interventional Radiology

摘　　要：目的探讨头颈颌面部Kimura病的CT表现,以提高对该病认识及诊断水平。方法回顾性分析16例经手术或活检病理证实的Kimura病的CT表现。结果 16例均为男性,平均24.5岁。CT上将病灶按形态分为两型,Ⅰ型为边界相对清楚的结节或肿块,Ⅱ型为边界不清的弥漫性肿块。Ⅰ型(7/16)表现为腮腺、颌下、颏下或颈部多发结节状软组织影,边界清晰,增强扫描呈明显均匀强化;Ⅱ型(9/16)表现为腮腺、颌面、耳周皮下弥漫性软组织肿块影,边界不清或模糊,病灶内和/或周边伴结节状软组织影,增强扫描轻中度不均匀强化,结节影多均匀强化,病灶可累及邻近皮肤。所有病例伴颈部和/或颌下淋巴结增多和/或肿大。所有病例血嗜酸性粒细胞均明显增多。结论头颈颌面部Kimura病的影像表现有一定的特征性,结合实验室检查,可提高其诊断准确性。Objective To investigate the value of CT in diagnosing Kimura disease（KD） in the neck and maxillofacial region. Methods The CT characteristics of 16 patients with histologically confirmed KD were analyzed retrospectively. Results All16 patients were male with average age of 24.5 years. There were two types of masses on CT. Seven patients showed multiple soft tissue nodules with well-defined margins and homogeneous enhancement in the parotid gland, submandibular and neck region. Nine patients showed diffuse soft tissue swelling with ill-defined margins and heterogeneous enhancement in the parotid gland and maxillofacial region. Regional lymphadenopathy could be seen and eosinophilia was present in all patients. Conclusion Kimura disease in the neck and maxillofacial region have CT features that can be useful in diagnosis in combination with laboratory test.

关 键 词：头颈颌面部 木村病(Kimura病) 体层摄影术 X线计算机 

分 类 号：R782[医药卫生—口腔医学]