CT initial diagnosis value of nasopharyngeal fibroangioma
- VernacularTitle:鼻咽部纤维血管瘤的CT初步诊断
- Author:
Zhaojin ZHANG
1
;
Cuiying ZHU
;
Yonghong ZHAN
;
Dechang PENG
Author Information
1. 江西省德兴市人民医院放射科
- Keywords:
Nasopharyngeal fibroangioma;
Nasopharynx;
Tomography;
X-ray computed;
Differential diagnosis
- From:
China Modern Doctor
2014;(29):60-62
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the diagnostic value of multi-slice spiral CT in clinical stage of nasopharyngeal fi-broangioma. Methods The clinical data and imaging findings of CT in 40 patients with nasopharyngeal fibroangioma confirmed by operation and pathologic examination were retrospectively analyzed. The size, shape, density, boundary, strengthen and the changes of the adjacent structure of the mass were observed and analyzed. Results According to Radkowski classification, 3 cases were evaluated as stageⅠa, 9 cases were evaluated as stage Ⅰb, 8 cases were eval-uated as stage IIa, 10 cases were evaluated as stage IIb, 5 cases were evaluated as stage IIc, 3 cases were evaluated as stageⅢa and 2 cases were evaluated as stageⅢb. Most corrosive location were in nasopharynx, pterygopalatine fos-sa, sphenoid sinus, maxillary sinus, eye socket and followed occurred in fratemporal fossa, and few corrosive location were in sclerotin of pars buccalis, cavernous sinus and basis cranii. The tumor showed uniform and slightly lower den-sity but obviously strengthening after administration of Gd-DTPA. Conclusion Multi-slice spiral CT has important clinical value for the clinical stage diagnosis, preoperative localization, evaluating the postoperative extent and the prognosis of the nasopharyngeal fibroangioma.
