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罕见的声门下型多形性腺瘤:磁共振成像表现。

A Rare Subglottic Pleomorphic Adenoma: Magnetic Resonance Findings.

机构信息

Department of Otolaryngology Head and Neck Surgery, Japanese Red Cross Society Himeji Hospital.

Department of Surgery, Japanese Red Cross Society Himeji Hospital.

出版信息

Acta Med Okayama. 2024 Aug;78(4):331-335. doi: 10.18926/AMO/67549.

Abstract

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.

摘要

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。

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