Takita Hirotaka, Takeshita Tohru, Shimono Taro, Tanaka Hiroko, Iguchi Hiroyoshi, Hashimoto Shigeo, Kuwae Yuko, Ohsawa Masahiko, Miki Yukio
Department of Diagnostic and Interventional Radiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-cho, Abeno-ku, Osaka, 545-8585, Japan.
Department of Radiology, Osaka Prefectural Medical Center for Respiratory and Allergic Diseases, Osaka, Japan.
Jpn J Radiol. 2017 Nov;35(11):629-647. doi: 10.1007/s11604-017-0678-z. Epub 2017 Aug 23.
The latest World Health Organization 2017 Classification of Head and Neck Tumours includes a new chapter on tumors and tumor-like lesions of the neck and lymph nodes. Tumor-like lesions include a variety of cystic lesions of the parotid gland. Cystic lesions of the parotid gland can be divided into three groups: non-neoplastic cysts, benign tumors with macrocystic change, and malignant tumors with macrocystic change. It is important to distinguish these lesions from one another because treatment and patient management differ among the three groups. The purpose of this review is to describe the magnetic resonance imaging and scintigraphy findings and the histopathologic characteristics of each parotid gland lesion based on the latest World Health Organization 2017 Classification of Head and Neck Tumours and to summarize the key points of differential diagnosis for cystic lesions of the parotid gland.
世界卫生组织2017年最新版《头颈部肿瘤分类》新增了一章关于颈部及淋巴结肿瘤和肿瘤样病变的内容。肿瘤样病变包括腮腺的多种囊性病变。腮腺囊性病变可分为三组:非肿瘤性囊肿、具有大囊变的良性肿瘤以及具有大囊变的恶性肿瘤。区分这些病变很重要,因为三组病变的治疗方法和患者管理有所不同。本综述的目的是根据世界卫生组织2017年最新版《头颈部肿瘤分类》描述每种腮腺病变的磁共振成像和闪烁扫描结果以及组织病理学特征,并总结腮腺囊性病变的鉴别诊断要点。