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鼻咽癌放疗后复发73例CT分析
引用本文:任静,冯斌,许茂清,颜海婴. 鼻咽癌放疗后复发73例CT分析[J]. 临床放射学杂志, 2000, 19(11): 687-689
作者姓名:任静  冯斌  许茂清  颜海婴
作者单位:1. 610041,成都,四川省肿瘤医院影像科
2. 四川省电力医院放射科
摘    要:目的 探讨鼻咽癌(NPC)放疗后复发CT表现。材料与方法 对73例NPC复发患者,进行回顾性分析。结果 咽旁及颈动脉鞘区复发28例,颅底破坏、海绵窦复发22例,原发灶复发咽旁受侵17例,单纯咽壁复发6例。结论 NPC放疗后复发,以向咽壁深层侵犯为主,其次是向上侵犯,放疗后CT随访对比分析。对于NPC复发的早期诊断有重要意义。

关 键 词:鼻咽癌 肿瘤复发 CT 诊断 放射疗法

CT Findings of the Recurrence of Nasopharyngeal Carcinoma after Radiotherapy: A Report of 73 Cases
REN Jing,FENG Bin,XU Maoqing,et al.. CT Findings of the Recurrence of Nasopharyngeal Carcinoma after Radiotherapy: A Report of 73 Cases[J]. Journal of Clinical Radiology, 2000, 19(11): 687-689
Authors:REN Jing  FENG Bin  XU Maoqing  et al.
Affiliation:REN Jing,FENG Bin,XU Maoqing,et al. Department of Imageology,Sichuan Provincial Cancer Hospital,Chengdu,Sichuan Province 610041,P.R.China
Abstract:Objective To discuss CT features of recurrent nasopharyngeal carcinoma (NPC) after irradiation.Materials and Methods CT findings in 73 cases with recurrent NPC were retrospectively analyzed. A comparison of CT signs before and after radiotherapy was made.Results The recurrent tumor invading the carotid sheath area and parapharyngeal tissues was seen in 28 cases. Cranial base destruction with cavernous sinus involvement was found in 22 cases, while recurrence at original site with parapharyngeal involvement in 17. Recurrence purely at nasopharyngeal wall was seen only in 6 cases.Conclusion The recurrence of NPC after irradiation mainly invades the deeper tissues under the nasopharyngeal wall. CT follow-up examination plays an important role in making an early diagnosis of the recurrence of NPC.
Keywords:Nasopharyngeal carcinoma Recurrence Tomography  X-ray computed
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