CAJ | 학술논문

目的：探讨磁共振成像（MRI）检查在儿童颈部肿块中的应用价值。方法回顾性分析2006年5月至2013年12月因颈部肿块行MRI检查的140例患儿的临床资料，其中34例行病理检查。结果 MRI诊断140例患儿中，良性肿块103例（73.6%），主要为脉管性畸形62例、血管瘤30例，其余为囊肿、错构瘤、感染性肿块等；恶性肿瘤29例（20.7%），主要为淋巴瘤22例、横纹肌肉瘤3例、朗格罕细胞组织细胞增生症3例、神经母细胞瘤1例；另8例（5.7%）未定性。在103例良性肿块患儿中4例行病理检查，与MRI诊断一致；29例恶性肿瘤患儿中25例行病理或骨髓细胞形态学检查，与MRI诊断一致22例。结论 MRI有助于儿童颈部肿块的诊断，以及治疗方案的选择及随访。
목적：탐토자공진성상（MRI）검사재인동경부종괴중적응용개치。방법회고성분석2006년5월지2013년12월인경부종괴행MRI검사적140례환인적림상자료，기중34례행병리검사。결과 MRI진단140례환인중，량성종괴103례（73.6%），주요위맥관성기형62례、혈관류30례，기여위낭종、착구류、감염성종괴등；악성종류29례（20.7%），주요위림파류22례、횡문기육류3례、랑격한세포조직세포증생증3례、신경모세포류1례；령8례（5.7%）미정성。재103례량성종괴환인중4례행병리검사，여MRI진단일치；29례악성종류환인중25례행병리혹골수세포형태학검사，여MRI진단일치22례。결론 MRI유조우인동경부종괴적진단，이급치료방안적선택급수방。
Objectives To evaluate pediatric neck masses with magnetic resonance imaging (MRI). Methods In this retrospective study, 140 children with neck masses underwent MRI were collected from May 2006 to December 2013. Of them 34 cases went through pathological examinations. The results of MRI diagnosis and pathology were compared in 34 cases. Results In 140 children with neck masses diagnosed by MRI, 103 (73.6%) cases were benign lesions, including 62 vascular malformations, 30 hemangiomas, then cysts, hamartoma, infectious lumps etc., 29 (20.7%) were malignant tumors, including 22 lymphomas, 3 rhabdomyosarcomas, 3 Langerhans cell histiocytosis, 1 neuroblastoma, and 8 (5.7%) cases were undeter-mined masses. Four in 103 cases with benign lesions were performed by pathological examination and all had been con-firmed. Tewenty-five in 29 cases with malignant tumors were performed by pathological examination and 22 cases had been confirmed. Conclusion MRI can help to diagnose the pediatric neck masses and to guide the treatment and follow-up.