鼻咽癌放疗后颈淋巴结复发的影像学特征及临床意义 |
| |
引用本文: | 黄生富,张兰芳,何侠,郭震.鼻咽癌放疗后颈淋巴结复发的影像学特征及临床意义[J].肿瘤学杂志,2009,15(4):284-287. |
| |
作者姓名: | 黄生富 张兰芳 何侠 郭震 |
| |
作者单位: | 江苏省肿瘤医院,江苏,南京,210009 |
| |
摘 要: | 目的]探讨鼻咽癌放疗后颈淋巴结复发的影像学特征及临床意义。方法]分析2002~2008年在本院确诊为鼻咽癌放疗后颈淋巴结复发38例的影像学表现。结果]颈淋巴结复发以Ⅱ区最常见,约74%(28/38),多区复发约63%(24/38)。86%(25/29)为原部位复发。复发淋巴结以形态不规则且边缘不清楚及包膜外侵犯多见,在MRI-STIR序列上病变以中等及低信号多见。DWI以高低不等的混杂信号多见,实性区的平均ADC值为0.79×10^-3mm^2/s,坏死区为2.08×10^-3mm^2/s。结论]鼻咽癌放疗后颈淋巴结复发MRI表现不典型。结合MRI弥散加权成像(DWI)、PET/CT等多种影像检查技术有助于早期诊断。
|
关 键 词: | 鼻咽肿瘤 淋巴结 复发 影像诊断 |
Imaging Features of Cervical Lymph Node Recurrence follow-ing Radiotherapy in Nasopharyngeal Carcinoma and Their Clinical Significance |
| |
Institution: | HUANG Sheng-fu, ZHANG Lan-fang, HE Xia, et al. (Jiangsu Cancer Hospital, Nanjing 210009, China) |
| |
Abstract: | Purpose] To investigate the imaging features of cervical lymph node recurrence(CLNr) following radiotherapy for nasopharyngeal carcinoma(NPC). Methods] The imaging features of CLNr in 38 cases with NPC following radiotherapy from 2002 to 2008 were analyzed. Results] Level Ⅱ was the most common site of CLNr, 74%(28/38); muhiple levels 63%(24/38) and primary location 86%(25/29). CLNr presented commonly as irregular shape, indistinct edge and penetrated capsule. CLN show moderate and/or low signal in MRI-STIR series. Mixtured signal with various value were very common in DWI, with an average ADC value 0.79×10^-3 mm^2/s in parenchymal region and 2.08×10^-3 mm^2/s in necrotic region. Conclusion] The MRI features of the CLNr in nasopharyngeal carcinoma following radiation are not typical and easily cause mis-diagnos. Combined multiple imagings with DWI and PET/CT et al are helpful for early diagnosis. |
| |
Keywords: | nasopharyngeal neoplasms lymph node recurrence imaging diagnosis |
本文献已被 维普 万方数据 等数据库收录! |
|