头颈部Kimura病的MRI诊断
黄莉;袁小平;黄穗乔;朱叶青
【期刊名称】《实用放射学杂志》 【年(卷),期】2011(027)003
【摘要】目的 探讨头颈部Kimura病的MRI影像学表现及临床特点,提高对该疾病的认识和诊断水平.方法 搜集经手术病理证实的头颈部Kimura病12例完整资料,所有病例术前均行MR平扫与增强扫描,回顾性分析其临床及MRI表现.结果 本病青中年男性多见(10例),12例Kimura 病病程长(平均6年),表现为颌下、腮腺及耳后区的慢性无痛性肿块,12例外周血检查中嗜酸性粒细胞明显增高,占白细胞总数的28%~65%.MRI表现为:(1) 单侧腮腺、颌下腺浅叶弥漫性增大,常伴有多个结节,或者单侧耳廓弥漫肿大,腮腺仅轻度增大;(2)同侧腮腺周围、颌下区淋巴结受累,淋巴结信号均匀,强化均匀,边缘光整,未见融合;部分病例双侧上颈深部淋巴结受累.结论 Kimura 病具有一定的影像特点,结合临床表现和实验室指标,术前可以诊断.%Objective To investigate MRI findings and clinical characteristics of Kimura disease, so that to improve the under standing of this disease. Methods 12 cases with Kimura disease verificd by histopathology underwent pre-and post- contrast enhanced MR imaging,the clinical data and MRI findings were reviewed. Results The disease often occurred in young male adult( 10 cases in this study). 12 cascs with Kimura disease had long clinical courses( averaged 6 years). The submandibular or parotid gland indolent mass without any pain was the chief complain. Laboratory examination of blood showed that
头颈部Kimura病的MRI诊断
