耳鼻咽喉科臨床
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
臨床
ダイナミックMRIによる耳下腺良性腫瘍の診断
石田 麻里子吉岡 友真若山 望関根 久遠山口 智木村 まき松根 彰志大久保 公裕
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2014 年 107 巻 12 号 p. 987-991

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To predict the histological type of parotid salivary gland tumors, dynamic-enhanced MRI could be useful. Eight patients with parotid salivary gland tumors were examined preoperatively using gadolinium-enhanced dynamic MRI. The time of peak enhancement (T peak) and washout ratio (WR) were determined from time-signal intensity curves (TSI-curves). According to previous reports, we categorized our 8 patients into four main patterns based on the T peak and WR. Type A (T peak>120 sec) was the pleomorphic type, type B (T peak≦120 sec, WR≧30%) was the Warthin tumor type, type C (T peak≦120 sec, WR<30%) was the malignant tumor type, and type D (flat) was not enhanced. According to the pathological diagnosis, the tumors of patients study comprised four cases of pleomorphic adenomas, two cases of Warthin tumors, one case of sebaceous lymphadenoma and one case of salivary duct cysts. While all four cases of pleomorphic adenoma were categorized into type A, one sebaceous lymphadenoma case, a rare benign salivary gland tumor, was categorized into type B (pattern of Warthin tumors). We obtained basically the same result as previous reports on categorization. On that basis, we were able to examine the histological type of sebaceous lymphadenomas using dynamic contrast-enhanced MRI.

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