Department of Otolaryngology Head and Neck Surgery, Japanese Red Cross Society Himeji Hospital.
Department of Surgery, Japanese Red Cross Society Himeji Hospital.
Acta Med Okayama. 2024 Aug;78(4):331-335. doi: 10.18926/AMO/67549.
No previous study has published magnetic resonance imaging (MRI) findings for a subglottic pleomorphic adenoma. Here, we describe the case of a 62-year-old man with a subglottic pleomorphic adenoma. Endoscopic findings revealed a smooth-surfaced tumor arising from the subglottic posterior wall. MRI revealed the lesion as an isointense region on T1-weighted images, which was homogeneously enhanced. This lesion showed a heterogeneously hyperintense region on T2-weighted images. Diffusion-weighted imaging (DWI) showed slightly high intensity in the same area, with a normal or only slightly high apparent diffusion coefficient (ADC). Laryngomicrosurgery was performed for transoral excision of the subglottic tumor, resulting in a postsurgical diagnosis of pleomorphic adenoma.
先前尚无研究报道过声门下多形性腺瘤的磁共振成像(MRI)表现。在此,我们描述了一例 62 岁男性的声门下多形性腺瘤病例。内镜检查发现起源于声门下后壁的表面光滑的肿瘤。MRI 显示病变在 T1 加权图像上为等信号强度区域,呈均匀增强。该病变在 T2 加权图像上显示为混杂高信号区域。弥散加权成像(DWI)显示同一区域的信号稍高,表观弥散系数(ADC)正常或仅稍高。经口行喉显微手术切除声门下肿瘤,术后诊断为多形性腺瘤。