Gabuniia R I, Dzhumaev M G, Lenskaia O P, Bagdasarov Iu V
Med Radiol (Mosk). 1985 Mar;30(3):54-7.
Nonchromaffin paragangliomas (chemodectomas) are rare tumors. Diagnosis of paraganglion tumors is difficult. The main diagnostic method is carotid angiography. Radionuclide thermographic studies were conducted in 16 neck paraganglioma patients for comprehensive diagnosis. Malignant tumors were found in 6 out of 16 patients. Paragangliomas of the carotid corpuscle were noted in 14 patients, those of the vagus nerve in 2 patients. In benign paraganglioma hyperthermia of the neck in the tumor region did not exceed 1.2 degrees C in 8 out of 10 patients. In all 6 patients with malignant paragangliomas, hyperthermia from 1.3 degrees and upwards was noted in the tumor region on the thermograms. On the scintigrams foci of increased RP accumulation were noted in 4 patients with malignant and in 2 patients with benign paragangliomas. The use of the radionuclide and thermographic methods makes it possible to extend the potentialities of differential diagnosis of benign and malignant neck paragangliomas.
非嗜铬性副神经节瘤（化学感受器瘤）是罕见肿瘤。副神经节瘤的诊断困难。主要诊断方法是颈动脉血管造影。对16例颈部副神经节瘤患者进行了放射性核素热成像研究以进行综合诊断。16例患者中有6例发现为恶性肿瘤。14例患者发现颈动脉体副神经节瘤，2例患者发现迷走神经副神经节瘤。10例良性副神经节瘤患者中，8例肿瘤区域颈部体温升高不超过1.2摄氏度。所有6例恶性副神经节瘤患者热成像图显示肿瘤区域体温升高1.3摄氏度及以上。4例恶性和2例良性副神经节瘤患者的闪烁图显示放射性核素积聚增加灶。放射性核素和热成像方法的应用使得扩大颈部良性和恶性副神经节瘤鉴别诊断的潜力成为可能。
