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唾液腺恶性肿瘤综述:常见组织学类型、解剖学考量及影像学策略

A Review of Salivary Gland Malignancies: Common Histologic Types, Anatomic Considerations, and Imaging Strategies.

作者信息

Lobo Remy, Hawk Jeffrey, Srinivasan Ashok

机构信息

Department of Neuroradiology, University of Michigan, B2-A209D, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.

Department of Neuroradiology, University of Michigan, B2-A209D, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.

出版信息

Neuroimaging Clin N Am. 2018 May;28(2):171-182. doi: 10.1016/j.nic.2018.01.011.

Abstract

Major and minor salivary gland malignancies come in various shapes and sizes. They can present as palpable masses or can be detected incidentally when imaging patients for other indications. A complete evaluation of salivary gland malignancies requires knowledge of the anatomy and various routes of spread of neoplasias. Computed tomography (CT) and MR imaging are complementary tools in this respect and offer useful information to the proceduralist. Advanced imaging (diffusion-weighted imaging and PET-CT) and other modalities (eg, ultrasound) help with characterization, although biopsy or excision is often needed for definitive tissue diagnosis.

摘要

大唾液腺和小唾液腺恶性肿瘤形态各异、大小不一。它们可表现为可触及的肿块,也可在因其他指征对患者进行影像学检查时偶然发现。对唾液腺恶性肿瘤进行全面评估需要了解肿瘤的解剖结构和各种扩散途径。在这方面,计算机断层扫描(CT)和磁共振成像(MR)是互补的工具,可为临床医生提供有用信息。先进的成像技术(扩散加权成像和PET-CT)以及其他检查方式(如超声)有助于进行特征性诊断,不过通常需要进行活检或切除以获得明确的组织诊断。

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