磁共振成像对儿童颈部肿块的诊断价值

临床儿科杂志 ›› 2014, Vol. 32 ›› Issue (5): 421-424.

磁共振成像对儿童颈部肿块的诊断价值

王晓霞，钟玉敏，周莺，薛潋滟，施美华，汤静燕

上海交通大学医学院附属上海儿童医学中心（上海　200127）

收稿日期:2014-03-17 出版日期:2014-05-15 发布日期:2014-05-15

Magnetic Resonance Imaging evaluation in the diagnosis of pediatric neck masses

WANG Xiaoxia, ZHONG Yumin Zhou Ying, Xue Lianyan, Shi Meihua, Tang Jingyan

(Shanghai Children's Medical Center，School of Medicine，Shanghai Jiao Tong University, Shanghai 200127, China)

Received:2014-03-17 Online:2014-05-15 Published:2014-05-15

摘要/Abstract

摘要：

　目的　探讨MRI检查在儿童颈部肿块中的应用价值。方法　回顾性分析2006年5月至2013年12月因颈部肿块行磁共振（MRI）检查的140例患儿的临床资料，其中34例行病理检查。结果　MRI诊断140例患儿中，良性肿块103例（73.6%），主要为脉管性畸形62例、血管瘤30例，其余为囊肿、错构瘤、感染性肿块等；恶性肿瘤29例（20.7%），主要为淋巴瘤22例、横纹肌肉瘤3例、朗格罕细胞组织细胞增生症3例、神经母细胞瘤1例；另8例（5.7%）未定性。在103例良性肿块患儿中4例行病理检查，与MRI诊断一致；29例恶性肿瘤患儿中25例行病理或骨髓细胞形态学检查，与MRI诊断一致22例。结论　MRI有助于儿童颈部肿块的诊断，以及治疗方案的选择及随访。

Abstract: 　Objective　To evaluate pediatric neck masses with magnetic resonance imaging (MRI). Methods In this retrospective study, 140 children with neck masses underwent MRI were collected from May 2006 to December 2013.Of them 34 cases went through pathological examinations. The results of MRI diagnosis and pathology were compared in 34 cases. Results In 140 children with neck masses diagnosed by MRI, 103 (73.6%) cases were benign lesions, including 62 vascular malformations, 30 hemangiomas, then cysts, hamartoma, infectious lumps etc., 29 (20.7%) were malignant tumors, including 22 lymphomas, 3 rhabdomyosarcomas, 3 Langerhans cell histiocytosis, 1 neuroblastoma, and 8 (5.7%) cases were undetermined masses. Four in 103 cases with benign lesions were performed by pathological examination and all had been confirmed. Tewenty-five in 29 cases with malignant tumors were performed by pathological examination and 22 cases had been confirmed. Conclusion MRI can help to diagnose the pediatric neck masses and to guide the treatment and follow-up.

王晓霞，钟玉敏，周莺，薛潋滟，施美华，汤静燕. 磁共振成像对儿童颈部肿块的诊断价值[J]. 临床儿科杂志, 2014, 32(5): 421-424.

WANG Xiaoxia,ZHONG Yumin Zhou Ying,Xue Lianyan,Shi Meihua,Tang Jingyan . Magnetic Resonance Imaging evaluation in the diagnosis of pediatric neck masses [J]. , 2014, 32(5): 421-424.

参考文献

[1] Jemal A，Siegel R，Ward E，et al. Cancer statistics，2007 [J].CA Cancer J Clin，2007，57(1):43-66.
[2] TurkingtonJR，PatersonA，SweeneyLE，et al. Neck masses in children [J]. Br J Radiol，2005，78 (925):75-85.
[3] Al-KhateebTH，AlZoubi F. Congenital neck masses: adescriptive study of 252 cases [J]. J Oral Maxillofac Surg，2007，65(11): 2242-2247.
[4] Lloyd C，McHughK. The role of radiology in head and neck tumours in children [J].Cancer Imaging，2010，10:49-61.
[5] Dick EA，MchughK，KimberC，et al. Imaging of non-central nervous system primitive neuroectodermaltumors:diagnostic features and correlation with outcome [J].Clin Radiol，2001，56(3)，206-215.
[6] Hermans R，editor. Head and neck cancer imaging. Berlin，Heidelberg: Springer-Verlag，2006.?
[7] Fordham LA，Chung CJ，Donnelly LF. Imaging of congenital vascular and lymphatic anomalies of the head and neck [J]. Neuroimaging Clin North Am，2000，10(1):117-136.
[8] ImhofH，CzernyC，HormannM，et al. Tumors and tumor-like lesions of the neck: from childhood to adult [J].Eur Radiol，2004，14(Suppl 4):L155-L165.
[9] Freling NJ，Merks JH，Saeed P，et al. Imaging findings in craniofacial childhood rhabdomyosarcoma [J]. Pediatr Radiol，2010，40(11):1723-1738.
[10] Yang WT，KwanWH，LiCK，et al. Imaging of pediatric head and neck rhabomyosarcomas with emphasis on magnetic resonance imaging and a review of the literature [J].PediatrHematol Oncol，1997，14(3):243-257.
[11] Stark DD，MossAA，BraschRC，et al. Neuroblastoma:diagnostic imaging and staging [J].Radiology，1983，148(1):101-105.
[12] HermansR.Diffusion-weighted MRI in head and neck cancer [J].Curr OpinOtolaryngol Head Neck Surg，2010，18(2):72-78.
[13] Kim S，LovnerL，QuonH，et al. Diffusion-weighted magnetic resonance imaging for predicting and detecting early response to chemoradiation therapy of squamous cell carcinomas of the head and neck [J].Clin Cancer Res，2009，15(3):986-994.