CAJ | 학술논문

目的：探讨Warthin瘤的MRI表现特征并结合相关文献加以分析，以提高对本病的认识。方法收集2006年6月-2013年6月我院及南京军区南京总医院共13例经病理证实的Warthin瘤患者临床和影像资料进行回顾性分析。结果13例Warthin瘤患者中，男11例，女2例；7例单发，6例多发，共21个病灶；病灶呈圆形或类圆形14个，类椭圆4个，分叶状2个，哑铃状1个；21个病灶位于后下部16个，5个病灶位于腮腺其它部位；病灶边缘在FSE T1WI上可见低信号环，在FSE T2WI脂肪抑制序列上呈等或稍高信号；在FSE T1WI上增强扫描病灶呈轻-中度强化。结论 Warthin瘤MRI表现具有一定的特征及好发部位，术前MRI检查不但可以对肿瘤进行定位，而且还可以定性，为临床制定正确的手术方案具有一定的指导意义。
목적：탐토Warthin류적MRI표현특정병결합상관문헌가이분석，이제고대본병적인식。방법수집2006년6월-2013년6월아원급남경군구남경총의원공13례경병리증실적Warthin류환자림상화영상자료진행회고성분석。결과13례Warthin류환자중，남11례，녀2례；7례단발，6례다발，공21개병조；병조정원형혹류원형14개，류타원4개，분협상2개，아령상1개；21개병조위우후하부16개，5개병조위우시선기타부위；병조변연재FSE T1WI상가견저신호배，재FSE T2WI지방억제서렬상정등혹초고신호；재FSE T1WI상증강소묘병조정경-중도강화。결론 Warthin류MRI표현구유일정적특정급호발부위，술전MRI검사불단가이대종류진행정위，이차환가이정성，위림상제정정학적수술방안구유일정적지도의의。
Objective To revaluate the diagnostic value of MRI in Warthin tumor in combination with related literature in order to improve our understanding .Methods Clinical data and MRI findings of 13 patients with pathologically proved War-thin tumor were observed from June 2006 to June 2013 and analyzed retrospectively .Results Among the 13 patients,11 were male and 2 were female .A total of 21 lesions included 7 cases with solitary mass ,and 6 cases with multiple mass .These lesions were round or nearly round in shape in 14,oval in 4,lobular in 2 and dumbbell shape in 1.Of the 21 lesions,16 were located in the posterior and inferior quadrant of the parotid ,and 5 in the other quadrants .All lesions had slightly low signal on FSE T1WI,and slight hyperintensity or isointensity on FSE T 2WI fat suppress.Most lesions showed mild or moderate enhancement after contrast administration on FSE T1WI.Conclusin MRI is valuable in locating the tumor,helpful in differentiating benign from malignant ,and also has certain guiding significance in selecting reasonable surgical treatment scheme .