Hegarty J L, Rao V M
Department of Radiology, Thomas Jefferson University Hospital, Jefferson Medical College, Philadelphia, PA 19017.
AJNR Am J Neuroradiol. 1993 Jan-Feb;14(1):215-8.
A case of nasopharyngeal amyloidoma with extensive skull base erosion is presented. CT revealed a large, relatively homogeneous, enhancing lesion; MR revealed a signal intensity iso- or slightly hyperintense compared to muscle on T1- and T2-weighted images, with a moderate degree of contrast enhancement. When an erosive mass is encountered at the skull base in a submucosal location in the nasopharynx, and MR demonstrates short T2 relaxation with signal iso- or slightly hyperintense relative to muscle, amyloidoma should be included in the differential diagnosis.
本文报告一例伴有广泛颅底骨质侵蚀的鼻咽部淀粉样瘤病例。CT显示一个较大的、相对均匀强化的病灶;磁共振成像(MR)显示在T1加权像和T2加权像上,其信号强度与肌肉相比呈等信号或略高信号,有中度强化。当在鼻咽部黏膜下位置的颅底发现侵蚀性肿块,且MR显示T2弛豫时间缩短,信号相对于肌肉呈等信号或略高信号时,鉴别诊断应考虑淀粉样瘤。