摘要
目的提高鼻腔肿块性病变的CT诊断水平。方法搜集经手术病理活检证实的鼻腔肿块性病变38例,详细分析它们的CT表现。结果鼻腔息肉20例,肿块边界清楚、光滑,其中1例有骨质破坏;内翻乳头状瘤3例,息肉合并内翻乳头状瘤1例,肿块边界清楚,呈分叶状,均未见骨质破坏;鼻腔癌8例,恶性肉芽肿2例,黑色素瘤各1例,肿块边缘不规则,均伴有1个以上部位骨质破坏;Wegner`s肉芽肿呈边界不清、条状软组织影,伴鼻中隔破坏;2例非霍奇金淋巴瘤肿块边界不清,无骨质破坏。结论鼻腔良性肿块边缘多规则,多无骨质破坏,而恶性肿块边缘不规则,多破坏周围骨质。
Objective In order to raise CT diagnostic level in nasal cavity lumps. Methods CT manifestations of 38 patients with nasal cavity lumps proved by pathology were analyzed in details. Results Polyp of nasal cavity （n=20）, showed clear and slick soft tissue lump, 1 case of them showed the destruction of bone. The inverted papillary epithelioma （n=3） and the polyp with inverted papillary epithelioma （n=1）, showed clear and lobulated soft tissue lump and no destruction of bone. Carcinoma of nasal cavity （n=8）, malignant granuloma （n=2）, and melanoma （n=1）, they showed irregurlar soft tissue lump and destruction of bone above one place. The Wegner＇s granuloma （n= 1） showed obscure boundary and strip soft tissue lump and destruction of bone in nasal septum. The non-Hodgkin＇s lymphoma （n=2） showed obscure boundary soft tissue lump and no the destruction. Conclusion The benign lumps of nasal cavity mostly show borderline regulation and no the destruction, but the malignant lumps mostly show borderline irregularity and destroy surrounding bone.
出处
《当代医学》
2009年第20期135-137,共3页
Contemporary Medicine
