右侧鼻腔-筛窦脊索瘤CT和MRI影像学表现一例  

CT and MRI imaging features of right nasal ethmoid chordoma:a case report

作　　者：张榕 毛莉莉 胡秋根 Zhang Rong;Mao Lili;Hu Qiugen(Department of Radiology,Shunde Hospital of Southern Medical University(the First People's Hospital of Shunde,Foshan),Foshan 528308,China;Department of Stomatology,the Affiliated Chencun Hospital of Shunde Hospital,Southern Medical University(the Affiliated Chencun Hospital of the First People's Hospital of Shunde,Foshan),Foshan 528313,China)

机构地区：[1]南方医科大学顺德医院(佛山市顺德区第一人民医院)放射科,佛山528308 [2]南方医科大学顺德医院附属陈村医院(佛山市顺德区第一人民医院附属陈村医院)口腔科,佛山528313

出　　处：《国际放射医学核医学杂志》2022年第5期321-324,共4页International Journal of Radiation Medicine and Nuclear Medicine

基　　金：佛山市科技局自筹经费项目(2017AB003623)。

摘　　要：脊索瘤好发于中轴骨,以颅底及骶尾区域最为常见,发生在其他部位较罕见。笔者报道了1例经组织病理学检查结果证实的发生在右侧鼻腔-筛窦的脊索瘤病例,分别从临床症状、术前CT及MRI影像学表现、手术所见及术后组织病理学、免疫组织化学检查结果分析了该病的特点,并通过文献复习鉴别诊断,加深了对该病的认识,为临床诊断及治疗方式提供有价值的参考。Chordomas mainly occur in the axial bones,the most common in the base of the skull and the sacrococcygeal region,and are rare in other parts.The author reported a case of chordoma in the right nasal cavity and ethmoid sinus confirmed by histopathological results.The clinical symptoms,preoperative CT and MRI imaging findings,surgical findings and postoperative histopathology immunohistochemical examination results were analyzed.The characteristics of the disease and the differential diagnosis through literature review have deepened the understanding of the disease,provide valuable reference for clinical diagnosis and treatment.

关 键 词：脊索瘤 右侧鼻腔 筛窦 中轴骨 组织病理学 免疫组织化学检查 影像学表现 颅底 

分 类 号：R445.2[医药卫生—影像医学与核医学] R739.62[医药卫生—诊断学] R730.44[医药卫生—临床医学]