Zwas S T, Kronenberg J, Tadmor R, Leventon G
J Nucl Med. 1983 Nov;24(11):1005-11.
Jugular paraganglioma is a highly vascular tumor, slowly growing, extending into the surrounding structures and causing otologic and/or neurologic symptoms according to its location in the jugular bulb region or the middle-ear. In our study, modified vertex and posterior head scintiangiography was used in seven cases. Scintiangiography was positive in all seven, whereas concomitant radiographic studies were limited: four of the seven gave positive findings by transmission computerized tomography (TCT). Only four patients underwent angiography, with positive results in two. Hypocycloidal tomography was positive in three cases. However, some radiographic studies, particularly TCT, may be useful in detecting local extension, bone destruction, and soft-tissue infiltration. Radionuclide angiography proved highly reliable and should be used initially whenever a jugular paraganglioma is suspected.
颈静脉球瘤是一种血管丰富的肿瘤,生长缓慢,可向周围结构浸润,并根据其在颈静脉球区域或中耳的位置引起耳科和/或神经症状。在我们的研究中,对7例患者采用了改良的头顶和后头部闪烁血管造影。7例闪烁血管造影均为阳性,而同时进行的影像学检查结果有限:7例中有4例通过透射计算机断层扫描(TCT)显示阳性结果。仅4例患者接受了血管造影,其中2例结果为阳性。旋回体层摄影在3例中呈阳性。然而,一些影像学检查,特别是TCT,在检测局部浸润、骨质破坏和软组织浸润方面可能有用。放射性核素血管造影被证明高度可靠,只要怀疑有颈静脉球瘤,应首先使用该检查。