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COMBINED IMAGING DIAGNOSIS OF PAROTID MASSES
作者姓名:俞光岩  邹兆菊  王仪生  郝凤鸣  朱家瑞  李沙
作者单位:Department of Oral and Maxilllofacial Surgery,School of Stomatology,Beijing Medical University,Department of Oral and Maxilllofacial Surgery,School of Stomatology,Beijing Medical University,Department of Radiology,The First Teaching Hospital,Beijing Medical University,Department of Ultrasound Diagnosis,General Hospital of PLA,Beijing,Department of Nuclear Medicine,Beijing Institute for Cancer Research,Department of Radiology,The First Teaching Hospital,Beijing Medical University
摘    要:Computed tomography (CT), ultrasonography, sialography, and 99mTc scintigraphy were applied before operation to 108 patients with parotid masses. The results of each technique and the combined study of them were compared with the pathological diagnosis. Ultrasonography was found to be a very effective diagnostic aid in determining the presence of space-occupying lesion in the parotid. CT was the best technique to provide adequately reliable informations regarding the location of the tumor and the relationship between tumor and surrounding tissues. For diagnosing the nature of tumors, ultrasonography combined with sialography was reliable. 99mTc scintigraphy was better than other techniques in diagnosis of adenolymphoma. The diagnostic accuracy of combined diagnosis (90.7%) was higher than those of ultrasonography (83%), CT (80.5%), sialography (79%), and 99mTc scintigraphy (13.9%) alone. The advantage of combined diagnosis was particularly obvious for the diagnosis of low-grade malignant tumors.

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