Evaluation of Magnetic Resonance Imaging (MRI) Features and Invasion Routes of Nasopharyngeal Carcinoma (NPC) Infilatrating the Carvernous Sinus_West China Medical Journal

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Zhongshan University Tumor Prevention and Treatment Centres Involved in the Image,Guangzhou Guangdong 510060,China;

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Keywords：

鼻咽肿瘤/诊断; 海绵窦; 磁共振成像

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目的:运用磁共振成像评价鼻咽癌海绵窦侵犯的影像学表现和侵犯途径。方法:回顾性分析经病理证实的140例鼻咽癌海绵窦侵犯病例的MRI图像及临床资料,观察海绵窦受侵的MRI表现和侵犯途径。结果:140例患者,受累海绵窦156侧,单途径侵犯共107侧,双途径侵犯共39侧,3条途径侵犯共8侧,4条途径侵犯共2侧。51侧(32.69％)为卵圆孔单途径受侵, 42侧(26.92％)破裂孔单途径受侵,多途径侵犯中卵圆孔、破裂孔作为共同途径共26侧(16.67％)。结论:MRI能较好的评价鼻咽癌海绵窦侵犯情况及其侵犯途径,卵圆孔侵犯是最常见的单一侵犯途径,其次为破裂孔;卵圆孔、破裂孔作为共同途径在多途径侵犯中最常见;经翼腭窝、圆孔途径侵犯海绵窦并不少见。

Citation： LIU Xuewen,LI Hui,MO Yunxian,XIE Chuanmiao,et al. Evaluation of Magnetic Resonance Imaging (MRI) Features and Invasion Routes of Nasopharyngeal Carcinoma (NPC) Infilatrating the Carvernous Sinus. West China Medical Journal, 2009, 24(9): 2251-2253. doi: Copy

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4.	丁建辉,胡超苏,彭卫军,等.鼻咽癌海绵窦侵犯的MRI评价[J].中华肿瘤杂志,2006,28(7):530-532.
5.	周益琴,陆近成,钱普东,等.鼻咽癌海绵窦受侵的临床及影像学分析[J].江苏医药,2007,33(4):367-369.
6.	SHAM JST, CHEUNG YK, CHOY D,et al. Nasopharyngeal carcinoma: CT evaluation of patterns of tumor spread[J]. AJNR, 1990,12:265-70.
7.	CHONG VF, FAN YF, KHOO JB,et al. Nasopharyngeal carcinoma with intracranial spread: CT and MR characteristics.[J].Comput Assist Tomogr, 1996, 20(4):563-569.
8.	邵君飞,惠国桢,张岩松,等.海绵窦解剖学新概念[J]. 中华神经外科疾病研究杂志,2006,5(4):338-341.
9.	梁长虹,龙晚生,主编．鼻咽癌影像诊断学[M]．北京:科学出版社,2000:1-70.
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1.
2.
3. HONG MH, MAI HQ, MIN HQ, et al. A comparison of the Chinese1992 and Fifthedition International Union Against Cancer StagingSystems for staging nasopharyngeal carcinoma[J].Cancer, 2000,89:242-247.
4. 丁建辉,胡超苏,彭卫军,等.鼻咽癌海绵窦侵犯的MRI评价[J].中华肿瘤杂志,2006,28(7):530-532.
5. 周益琴,陆近成,钱普东,等.鼻咽癌海绵窦受侵的临床及影像学分析[J].江苏医药,2007,33(4):367-369.
6. SHAM JST, CHEUNG YK, CHOY D,et al. Nasopharyngeal carcinoma: CT evaluation of patterns of tumor spread[J]. AJNR, 1990,12:265-70.
7. CHONG VF, FAN YF, KHOO JB,et al. Nasopharyngeal carcinoma with intracranial spread: CT and MR characteristics.[J].Comput Assist Tomogr, 1996, 20(4):563-569.
8. 邵君飞,惠国桢,张岩松,等.海绵窦解剖学新概念[J]. 中华神经外科疾病研究杂志,2006,5(4):338-341.
9. 梁长虹,龙晚生,主编．鼻咽癌影像诊断学[M]．北京:科学出版社,2000:1-70.
10. 谢传淼,梁碧玲,林浩皋,等．MRI对鼻咽癌T、N分期的影响[J].中华肿瘤杂志,2002,24:181—184.

West China Medical Journal

Evaluation of Magnetic Resonance Imaging (MRI) Features and Invasion Routes of Nasopharyngeal Carcinoma (NPC) Infilatrating the Carvernous Sinus

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