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涎腺上皮肌上皮癌1例

Chinese Journal of Medical Imaging Technology(2018)

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Abstract
患者男,44岁,因“左侧耳下无痛性肿物7月余”入院.查体:左侧耳垂下隆起,可触及2,3 cm×1.6 cm包块,边界清楚,质硬,无压痛,局部皮温正常,左侧腮腺导管口无肿胀,无脓性或血性分泌物.CT:左侧腮腺浅叶类圆形混杂密度肿块,约2.4 cm×2.4 cm,边界清晰,部分侵及皮下,平扫病灶边缘呈高密度,中心呈低密度(图1A),咽旁间隙对称;增强扫描病灶边缘可见环形强化,中心低密度区无强化,病灶内可见多房分隔(图1B).CT诊断:左侧腮腺浅叶占位,考虑良性肿瘤.左侧腮腺浅叶及肿物摘除术中见肿瘤呈囊实性,质地中等.
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