周辉红,张蔚蒨,詹维伟,徐秋华,燕山.超声、CT/MR在舌鳞状细胞癌诊断中的价值[J].中国医学影像技术,2008,24(12):1930~1932
超声、CT/MR在舌鳞状细胞癌诊断中的价值
Ultrasound, CT/MR in diagnosis of squamous cell carcinoma of tongue
投稿时间:2008-06-06  修订日期:2008-08-29
DOI:
中文关键词:  超声检查  体层摄影术, X线计算机  磁共振成像  癌,舌肿瘤
英文关键词:Ultrasonography  Tomography, X-ray computed  Magnetic resonance imaging  Tongue neoplasms
基金项目:
作者单位E-mail
周辉红 上海交通大学医学院附属第九人民医院超声诊断科,上海 200011  
张蔚蒨 上海交通大学医学院附属第九人民医院超声诊断科,上海 200011  
詹维伟 上海交通大学医学院附属瑞金医院超声诊断科,上海 200025 shanghairuijin@126.com 
徐秋华 上海交通大学医学院附属第九人民医院超声诊断科,上海 200011  
燕山 上海交通大学医学院附属第九人民医院超声诊断科,上海 200011  
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中文摘要:
       目的 比较超声检查和CT、MR在舌鳞状细胞癌诊断中的价值。方法 对26例原发性舌癌、12例复发性舌癌术前同时行超声和CT/MR检查,对比观察肿块以及颈部淋巴结的情况。结果 超声与CT/MR比较可知口腔内超声对于小病灶的检出率以及颈部淋巴结转移阳性的检出率大于CT和MR,而CT和MR对于侵犯周围组织及骨骼的评估要优于超声。结论 超声可作为术前诊断和术后随访的首选方法,而对于侵袭范围较广且疑有骨质破坏的病例,可在超声的基础上再加行CT或者MR检查。
英文摘要:
      Objective To compare the value of ultrasound with CT/MR in diagnosis of squamous cell carcinoma of tongue. Methods All 26 primary and 12 recurrent tongue carcinomas were examined respectively with ultrasound and CT/MR. Results The intra-oral ultrasound had a higher detection rate in the focal lesion and in the metastasis of the neck lymph nodes, compared with the CT and MR. However, CT and MR were better than ultrasound when evaluating the peripheral tissue and skeletal invasion. Conclusion Ultrasound can be regarded as the primary choice in the preoperative diagnosis and post-operational following up of squamous cell carcinoma of tongue. CT and MR shall be used when the invasive area is large and/or with suspicious bone destruction.
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