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下颌骨恶性造釉细胞瘤CT表现与病理对照
引用本文:刘华,高传平,郝大鹏.下颌骨恶性造釉细胞瘤CT表现与病理对照[J].当代医学,2009,15(20):111-114.
作者姓名:刘华  高传平  郝大鹏
作者单位:1. 青岛市南区人民医院放射科,266003,青岛
2. 青岛大学医学院附属医院放射科,266003,青岛
摘    要:目的探讨下颌骨恶性造釉细胞瘤CT表现,并与病理对比。方法2003年9月至2008年11月经病理证实的恶性造釉细胞瘤7例,6例行CT平扫,其中2例行三维CT重组;1例行CT增强扫描;分析CT表现并观察肿瘤组织学特点。结果7例恶性造釉细胞瘤发生在下颌骨体部4例,体部和升支交界区3例。病变横断面最大径的平均值为49mm(34mm~61mm)。7例恶性造釉细胞瘤均呈分叶状,破坏区边缘清楚,骨皮质破坏中断并有软组织肿块形成,其中5例(5/6)平扫时与肌肉相比呈等低混杂密度,1例(1/6)呈较均匀等密度,1例增强扫描呈明显不均匀强化。4例(4/7)有不全骨性分隔,5例(5/7)牙根吸收。2例术后复发,时间分别为13个月和17个月。1例术后14个月后肺内转移。结论恶性造釉细胞瘤CT表现缺乏特征性,诊断应结合病理学、临床表现综合考虑。

关 键 词:下颌骨  恶性造釉细胞瘤  体层摄影术  X线计算机  病理

Comparative Analysis of CT Features and Pathologic Findings of Mandible Malignant Ameloblastoma
Hua LIU,Chuan-ping GAO,Da-peng HAO.Comparative Analysis of CT Features and Pathologic Findings of Mandible Malignant Ameloblastoma[J].Contemporary Medicine,2009,15(20):111-114.
Authors:Hua LIU  Chuan-ping GAO  Da-peng HAO
Institution:Hua LIU1,Chuan-ping GAO2,Da-peng HAO2 1. Department of Radiology,people Hospital of Shinanqu,Qingdao 266003,China 2. *Department of Radiology,the Affiliated Hospital of Qingdao Medical College University,China
Abstract:Objective To explore the CT features of mandible malignant ameloblastoma (MA),and compare with pathologic features. M eth o d s Sevencases malig nantameloblastomas were confirmed by pathology,6 cases underwent pre-contrast CT examination,including 2 cases performing three-dimensional reconstruction.One case underwent post-contrast CT examination. CT features,pathologic characteristics of tumors were observed. Results Four cases located in the mandible body,3 cases located between mandible ramus and the mand...
Keywords:Mandible  Malignant ameloblastoma  Tomography  X-ray computed  Pathology  
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