论文部分内容阅读
目的研究舌鳞癌和舌淋巴瘤的MRI影像学征象,探讨MRI在舌鳞癌与舌淋巴瘤的诊断与鉴别诊断中的应用。方法回顾性分析经手术病理证实为舌鳞癌和舌淋巴瘤共39例患者术前MR影像资料和临床资料。结果舌鳞癌表现为好发于舌体舌周缘的肿块,局部舌黏膜破坏;舌弥漫大B细胞淋巴瘤表现为好发于舌根部的黏膜下信号均匀的肿块,局部黏膜多完整;舌NK/T细胞淋巴瘤表现为舌弥漫性肿大,信号不均,边界模糊。结论舌部肿瘤检查首选MRI;舌淋巴瘤和舌鳞癌的MRI征象及好发部位有区别,所以MRI不仅可以诊断舌肿瘤,还能对舌鳞癌及舌淋巴瘤的鉴别诊断提供非常有价值的影像信息。
Objective To study the MRI imaging features of tongue squamous cell carcinoma and tongue lymphoma and to explore the application of MRI in the diagnosis and differential diagnosis of tongue squamous cell carcinoma and tongue lymphomas. Methods Retrospective analysis of surgical pathology confirmed tongue squamous cell carcinoma and tongue lymphoma in 39 patients preoperative MR imaging data and clinical data. Results Tongue squamous cell carcinoma appeared in the tongue of the tumor around the lump, the local destruction of the tongue mucosa; tongue diffuse large B cell lymphoma manifested as submucosal lesions occur in the tongue root of the tongue even mass, partial mucosa more complete; tongue NK / T-cell lymphoma showed diffuse swelling of the tongue, uneven signal, fuzzy boundaries. Conclusion MRI is the first choice of MRI for tongue cancer. There are differences between MRI findings of tongue lymphoma and tongue squamous cell carcinoma, so MRI can not only diagnose tongue tumor but also provide very valuable value for the differential diagnosis of tongue squamous cell carcinoma and tongue lymphoma Video information.