成人鼻咽喉部鳞状上皮乳头状瘤的CT表现
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摘要
目的:探讨成人鼻咽喉部鳞状上皮乳头状瘤的CT表现,提高诊断的准确性。方法:回顾性分析经内镜及手术病理检查证实的24例成人鼻咽喉部鳞状上皮乳头状瘤患者的临床及CT影像学资料,总结病变部位、形态、增强及与邻近组织的关系等特征。结果:成人鼻咽喉部鳞状上皮乳头状瘤CT主要表现为黏膜弥漫均匀增厚肿胀,部分可形成结节或肿块,临近腔隙变窄,周围脂肪间隙存在,增强扫描呈均匀性轻中度渐进性强化(强化CT值20~45HU),若恶变则动脉期明显强化(强化CT值>45HU)或不均匀强化。结论:成人鼻咽喉部鳞状上皮乳头状瘤的CT表现具有一定特征,可为临床提供更多诊断信息。
Objective:Analyze the CT imaging characteristics of squamous papilloma in adult nose pharynx and throat to improve the diagnostic accuracy.Method:Retrospectively analyze clinical data and CT image data in 24 cases of squamous papilloma in adult nose,pharynx and throat,which were confirmed by endoscopic surgical pathology,and summarize CT imaging features including location,shape,enhancement,and its relationship with adjacent tissue,and so on.Result:The patients with squamous papilloma were characterized by diffusing thickening and uniform swelling of the mucosa of nose,pharynx and throat,narrowing near the cavity gap,swallow gap existing,and enhancement scanning manifested mild-to-moderate gradually uniform reinforcement(enhanced CT value with20-45HU),when accompanied with malignancy,apparent arterial enhancement(enhanced CT value>45HU)was observed.Conclusion:The adult patients with papilloma of nose,pharynx and throat has special features in CT image,which can provide more information for clinical diagnosis.
Objective:Analyze the CT imaging characteristics of squamous papilloma in adult nose pharynx and throat to improve the diagnostic accuracy.Method:Retrospectively analyze clinical data and CT image data in 24 cases of squamous papilloma in adult nose,pharynx and throat,which were confirmed by endoscopic surgical pathology,and summarize CT imaging features including location,shape,enhancement,and its relationship with adjacent tissue,and so on.Result:The patients with squamous papilloma were characterized by diffusing thickening and uniform swelling of the mucosa of nose,pharynx and throat,narrowing near the cavity gap,swallow gap existing,and enhancement scanning manifested mild-to-moderate gradually uniform reinforcement(enhanced CT value with20-45HU),when accompanied with malignancy,apparent arterial enhancement(enhanced CT value>45HU)was observed.Conclusion:The adult patients with papilloma of nose,pharynx and throat has special features in CT image,which can provide more information for clinical diagnosis.
引文
[1]孔维佳.耳鼻咽喉头颈外科学[M].2版.北京:人民卫生出版社,2010:459-459.
[2]HIRAI R,MAKIYAMA K,HIGUTI Y,et al.Pharyngeal squamous cell papilloma in adult Japanese:comparison with laryngeal papilloma in clinical manifestations and HPV infection[J].Eur Arch Otorhinolaryngol,2012,269:2271-2276.
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[4]ANDRATSCHKE M,HAGEDORN H,NERLICHA G.HPV infection in oral,pharyngeal and laryngeal papillomas[J].HNO,2015,63:768-772.
[5]高顺禹,王继琛,蒋学祥,等.CT在下咽和喉部肿瘤及肿瘤样病变定性诊断中的价值[J].实用放射学杂志,2006,22(7):789-792.
[6]宋斌.喉乳头状瘤[J].医学文选,2004,23(2):196-200.
[7]PRINCE J S,DUHAMEL D R,LEVIN D L.Nonneoplastic lesions of the tracheobronchial wall:radiologic findings with bronchoscopic correlation[J].Radiographics,2003,23:191-193.
[8]GALLIVAN R P,NGUYEN T H,ARMSTRONGW B.Head and neck computed tomography virtual endoscopy:evaluation of a new imaging technique[J].Laryngoscope,1999,109:1570-1579.
[9]GRENIER P A,BEIGELMAN-AUBRY C,FETITAC,et al.New frontiers in CT imaging of airway disease[J].Eur Radiol,2002,12:1022-1044.
[10]许拥军.100例鼻咽部慢性炎症患者CT诊断临床体会[J].影像技术,2013,25(1):21-22.
[11]陈阿梅,夏建东,江新青,等.鼻咽喉头颈部淋巴瘤的影像与病理对照[J].中国CT和MRI杂志,2011,9(1):17-19.
[2]HIRAI R,MAKIYAMA K,HIGUTI Y,et al.Pharyngeal squamous cell papilloma in adult Japanese:comparison with laryngeal papilloma in clinical manifestations and HPV infection[J].Eur Arch Otorhinolaryngol,2012,269:2271-2276.
[3]MAKIYAMA K,HIRAI R,MATSUZAKI H,et al.Assessment of human papilloma virus infection in adult laryngeal papilloma using a screening test[J].JVoice,2013,27:230-235.
[4]ANDRATSCHKE M,HAGEDORN H,NERLICHA G.HPV infection in oral,pharyngeal and laryngeal papillomas[J].HNO,2015,63:768-772.
[5]高顺禹,王继琛,蒋学祥,等.CT在下咽和喉部肿瘤及肿瘤样病变定性诊断中的价值[J].实用放射学杂志,2006,22(7):789-792.
[6]宋斌.喉乳头状瘤[J].医学文选,2004,23(2):196-200.
[7]PRINCE J S,DUHAMEL D R,LEVIN D L.Nonneoplastic lesions of the tracheobronchial wall:radiologic findings with bronchoscopic correlation[J].Radiographics,2003,23:191-193.
[8]GALLIVAN R P,NGUYEN T H,ARMSTRONGW B.Head and neck computed tomography virtual endoscopy:evaluation of a new imaging technique[J].Laryngoscope,1999,109:1570-1579.
[9]GRENIER P A,BEIGELMAN-AUBRY C,FETITAC,et al.New frontiers in CT imaging of airway disease[J].Eur Radiol,2002,12:1022-1044.
[10]许拥军.100例鼻咽部慢性炎症患者CT诊断临床体会[J].影像技术,2013,25(1):21-22.
[11]陈阿梅,夏建东,江新青,等.鼻咽喉头颈部淋巴瘤的影像与病理对照[J].中国CT和MRI杂志,2011,9(1):17-19.