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Radiological Manfest of the Lymphoma and Carcimoma of Nasal Cavity, Nasal Sinus<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
宋 伟
严洪珍
中国医学科学院北京协和医科大学
北京协和医院放射科，100730
Wei Song， Hongzhen Yan
Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
Abstract
Objective: To evaluate the radiographic findings of the NHL of nose and paranasal sinuses.
Methods: The radiographic and CT findings of nose and paranasal sinuses of 12 patients with NHL were analyzed.
Results: Soft tissue mass was observed in 7 patients, mucosal thickening of nose and paranasal sinuses was observed in 2 patients. Bone destruction was observed in 5 patients, and tumor infiltrating into the neighboring structures was observed in 6 patients(9 sites). Among 9 sites of the infiltration of the neighboring structures, aggressive bone destruction was seen in 5 sites. Post-treatment re-calcification of previous bone destruction was seen in 3 patients, and no new bone destruction was seen.
Conclusion: NHL of the nose and paranasal sinuses demonstrate soft tissue mass which usually infiltrates into the neighboring structures. In contrast, soft tissue mass with aggressive bone destruction was seen in most patients with carcinoma,and was seen in few patients with NHL. Post-treatment re-calcification of previous bone destruction may be the special finding of NHL.
Key words: nose; paranasal sinuses; NHL; radiography; tomography,X-ray computed
鼻腔、副鼻窦淋巴瘤较为少见，本组分析了1990年1月～2000年5月间12例病历，经病理证实、资料完整的鼻腔、副鼻窦淋巴瘤及17例癌肿的临床与影像表现，旨在讨论CT及MR对淋巴瘤与癌肿的诊断和鉴别诊断价值。
材料与方法
淋巴瘤12例，男5例，女7例，年龄20～70岁，平均年龄41岁。主要表现为鼻塞、涕血等，3例有颜面肿胀，1例有突眼，1例牙不适。4例患者行X线副鼻窦像（其中1例行副鼻窦体层，2例行X线颅底像），9例行副鼻窦CT（轴位9例，冠位4例），1例行副鼻窦MR检查。7例行手术切除，5例行鼻腔及副鼻窦粘膜活检。病理证实12例均为鼻腔、副鼻窦非何杰金淋巴瘤(表1)，B细胞型2例，T细胞型5例，5例未做分型。 | 
