Sehili-Briki S, Bouzaïdi K, Ben Hadj Hassine S, Jemli C, Zribi S, Daghfous M H
Service de Radiologie, Hôpital Habib Thameur, Tunis, Tunisie.
Ann Otolaryngol Chir Cervicofac. 2003 Nov;120(5):302-7.
Parotid gland hemangioma is uncommon in infancy and childhood and even rarer in adulthood. The clinical presentation, supported by imaging findings provides the diagnosis. The aim of this work is to discuss the different clinical and radiological aspects of this lesion with a special emphasis on MRI findings.
Three patients with unilateral hemangioma are presented. Radiological investigations including ultrasound and magnetic resonance imaging (1 Tesla) were performed.
Sonographic studies showed a lobulated mass with intermediate echogenicity, enlarging most or all of the visualized parotid gland. Correlative MR images in all cases showed a well-defined mass with an intermediate signal on T1-weighted images. On T2-weighted images, all masses appeared bright, heterogeneous with low signals within the masses consistent with flow voids representing blood vessels. Phleboliths were present in one case.
MRI is the investigation of choice allowing an accurate diagnosis and avoiding invasive procedures including biopsy.
腮腺血管瘤在婴幼儿期并不常见,在儿童期更为罕见,在成人期则更为少见。临床表现结合影像学检查结果可作出诊断。本文旨在探讨该病变不同的临床和放射学特征,特别强调磁共振成像(MRI)表现。
报告3例单侧腮腺血管瘤患者。进行了包括超声和磁共振成像(1特斯拉)在内的影像学检查。
超声检查显示为分叶状肿块,回声中等,占据大部分或全部可见腮腺。所有病例的相关磁共振图像均显示边界清晰的肿块,在T1加权图像上呈中等信号。在T2加权图像上,所有肿块均呈高信号,不均匀,肿块内有低信号,与代表血管的流空信号一致。1例出现静脉石。
MRI是首选的检查方法,可实现准确诊断,避免包括活检在内的侵入性操作。