木村病的影像学诊断  

Imaging Diagnosis of Kimura's Disease

作　　者：梁德志[1] 覃业志[2] 莫森林 

机构地区：[1]南方医科大学附属南海医院放射科,广东佛山528200 [2]广东省佛山市第一人民医院,广东佛山528000

出　　处：《中国CT和MRI杂志》2016年第12期133-136,共4页Chinese Journal of CT and MRI

摘　　要：目的探讨木村病的CT、MRI表现。方法对13例经手术切除并病理证实的木村病的影像征象进行回顾性分析。结果患者临床体征均为一侧或两侧颌面部、上肢、腋窝、腹股沟无痛性肿块,及局部淋巴结肿大,并伴随外周血嗜酸性粒细胞明显升高。5例病灶分别位于腮腺、下颌区、颈部、腹股沟区及腋窝,表现为边界清晰的结节状影,增强扫描明显均匀强化;8例病灶分别位于腮腺、泪腺、耳周、下颌区、上肢,表现为边界模糊的斑块状影,增强扫描大多强化不均匀。结论木村病的CT、MRI表现有其特征性,结合病史及实验室检查,有助于木村病与其他病变的鉴别。Objective To study the CT and MRI findings of Kimura＇s disease （KD） in order to improve diagnosis of it. ,Methods The imaging finding of 13 patients with histologically confirmed KD were analyzed retrospectively.Results 13 patients had connnon clinical features with painless mass and local lymphadenectasis, lesions occured in maxillofacial region, upper limb, axilla, inguina respectively. All patients accompanying peripheral blood eosinophilia were also observed. Five patients showed soft tissue nodules with well- defined margins and homogeneous enhancement in parotid gland, submandibular region, neck region, axilla, inguina respectively. Eight patients showed soft tissue swelling with ill-defined margins and heterogeneous enhancement in parotid gland, lacrimal gland, periauricular region, subnlandibular region, upper limb respectively. Conclusion The CT and MRI findings of KD have some characteristic features. Combining with the clinical manifestations and laboratory examinations, the diagnosis could be made.

关 键 词：木村病 体层摄影术 X线计算机 磁共振成像 

分 类 号：R816.1[医药卫生—放射医学]