13例涎腺导管癌的影像学表现分析

doi:10.6040/j.issn.1671-7554.0.2020.1070

Abstract

Abstract: Objective To explore the imaging manifestations of salivary duct carcinoma(SDC). Methods The CT and MRI data of 13 confirmed cases of SDC were retrospectively analyzed. Results There were 12 male and 1 female, with a median age of 64 years. CT plain scan and enhanced scan were performed in 12 patients, and MR plain scan was performed in 1 patient. All lesions were single mass, located in the parotid glands(9 cases), submandibular glands(2 cases), sublingual glands(1 case), and minor salivary gland(1 case). Tumors varied in size, with an average long diameter of 3.3 cm. Thirteen tumors had unclear boundary, invading the surrounding tissues to varying degrees, among which 5 had distant metastasis at the time of admission. Inhomogeneous density/signal of lesions in plain scan was found in 11 cases and homogeneous in 2 cases. CT scan showed significant enhancement in 8 cases, moderate enhancement in 3 cases and mild enhancement in 1 case. Coagulative necrosis was observed in 10 CT images, and slight enhancement was seen when the necrosis was incomplete. Coagulative necrosis was observed in 1 MR image, which was surrounded by a low signal fiber ring. Cervical lymph node metastasis was observed in 9 cases. Conclusion The imaging manifestations of SDC has certain characteristics, and the presence of coagulative necrosis can help the diagnosis and differentiation of this disease.

Key words: Salivary gland neoplasm, Salivary duct carcinoma, X-ray tomography, Magnetic resonance imaging

CLC Number:

R455.5

CHEN Xiaoli, GUI Zhenchao, GAO Yang, XING Mengyao, XIU Jianjun. Imaging findings of 13 cases of salivary duct carcinoma[J].Journal of Shandong University (Health Sciences), 2021, 59(1): 78-82.

References

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Imaging findings of 13 cases of salivary duct carcinoma

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