鼻腔鼻窦原发恶性肿瘤影像学诊断价值  

Imaging Diagnostic Value of Primary Malignant Tumor of Nasal Cavity and Paranasal Sinus

作　　者：于敏 袁振国[2] 肖连祥[2] YU Min;YUAN Zhen-guo;XIAO Lian-xiang(Department of Imaging,Kaifeng Central Hospital,Kaifeng 475000,Henan Province,China;MR Room,Shandong Medical Imaging Research Institute,Jinan 250000,Shandong Province,China)

机构地区：[1]开封市中心医院影像科,河南开封475000 [2]山东省医学影像学研究所MR室,山东济南250000

出　　处：《中国CT和MRI杂志》2022年第2期27-29,共3页Chinese Journal of CT and MRI

摘　　要：目的分析和总结鼻腔鼻窦原发恶性肿瘤的影像学征象,以提高诊断水平。方法通过收集本院2016年2月至2020年6月期间收治的64例经手术及病理确诊的鼻腔鼻窦原发恶性肿瘤,回顾性分析比较其影像学表现特征。结果所有病灶均表现为软组织肿块,其中鳞状细胞癌30例,腺样囊性癌12例,淋巴瘤10例,嗅神经母细胞瘤7例和黑色素瘤5例,影像学检查能较好的显示肿瘤的部位、形态、大小、信号及密度、邻近软组织结构受侵范围、周围骨质破坏。结论鼻腔鼻窦原发恶性肿瘤的影像学表现多样化,临床症状缺乏特异性,认真分析肿瘤影像学特点有助于提高诊断准确率,但仍对肿瘤组织来源方面和定性方面存在一定的局限。Objective Analyze and summarize imaging signs of Primary malignant tumor of nasal cavity and paranasal sinus and improve diagnostic level.Methods 64 cases from Feb 2016 to June 2020 of primary malignant tumors of nasal and paranasal sinuses,which are confirmed by surgery and pathology,are collected.Imaging features are retrospectively analyzed and compared.Results All lesions are characterized by mass lesion,including 30 cases of squamous cell carcinoma,12 cases of adenoid cystic carcinoma,10 cases of lymphoma,7 cases of olfactory neuroblastoma and 5 cases of melanoma.By imageological examination,tumor location,shape,size,signal and density,invaded range of the adjacent soft tissue and peripheral bone destruction are shown clearly.Conclusion The imaging manifestations of primary malignant tumors of the nasal cavity and paranasal sinus vary greatly and clinical symptoms lack specificity.Precise analysis of imaging characteristics of tumors is helpful to improve diagnostic accuracy but there are still some limitations on source and qualitative aspects of tumor tissue.

关 键 词：鼻腔鼻窦 原发 恶性肿瘤 影像学诊断 

分 类 号：R762.5[医药卫生—耳鼻咽喉科] R445[医药卫生—临床医学]