腮腺木村病的DWI和动态增强MR表现

doi:DOI:10.12117/jccmi.2019.04.004

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (0 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective: To evaluate the value of diffusion weighted imaging(DWI) and dynamic contrast enhanced MR imaging combined with conventional MR imaging(MRI) in the diagnosis of Kimura disease(KD). Methods: The clinical data and MRI findings of 7 patients with KD located in parotid glands proven by histopathologic examination were retrospectively analyzed. Results: Two patients had bilateral onset and 5 patients had unilateral onset. According to the shape of the lesion and the involved tissues, they were divided into 3 types: type Ⅰ(3 cases): subcutaneous lesions diffuse infiltration to the parotid gland; type Ⅱ(3 cases): intraparotid lymphadenopathies; type Ⅲ(1 case): mixed mode. On plain scan, type Ⅰ showed equal signal on T1WI, mixed slightly high signal on T2WI; type Ⅱ showed equal signal on T1WI, slightly high signal on T2WI in 2 cases, equal signal in 1 case; type Ⅲ showed slightly high signal on T1WI, mixed slightly high signal on T2WI. Dynamic enhanced MRI scan showed progressive enhancement of subcutaneous infiltration to parotid gland lesions, and early enhancement of reactive lymph nodes. The ADC value of normal parotid gland was (0.89±0.06)×10-3 mm2/s, that of subcutaneous infiltration to parotid gland lesions was (1.24±0.10)×10-3 mm2/s, and that of reactive lymph nodes was (0.62±0.06)×10-3 mm2/s. Conclusions: The ADC values of subcutaneous infiltration to parotid lesions were higher than those of normal parotid glands, and the ADC values of reactive lymph node lesions were lower than those of normal parotid glands. On dynamic enhanced scan, infiltrative parotid gland lesions showed progressive enhancement, and the parotid gland lymph nodes and reactive lymph nodes showed early enhancement. These features can be used as characteristic MR manifestations of KD, combined with its clinical manifestations and laboratory examinations, can highly suggest the diagnosis of KD.

Key words： Parotid diseases Angiolymphoid hyperplasia with eosinophilia Magnetic resonance imaging

Received: 26 April 2018

PACS:	Ｒ781.7
	Ｒ445.2

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	MA Ke-ran
	CHENG Jing-liang
	ZHANG Xiao-nan
	WANG Fei-fei
	SONG Cheng-ru

Cite this article:

MA Ke-ran,CHENG Jing-liang,ZHANG Xiao-nan, et al. DWI and dynamic contrast-enhanced MR imaging of Kimura disease in parotid glands[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2019, 30(4): 242-245.

URL:

http://www.jccmi.com.cn/EN/DOI:10.12117/jccmi.2019.04.004 OR http://www.jccmi.com.cn/EN/Y2019/V30/I4/242

[1]Horikoshi T, Motoori K, Ueda T, et al. Head and neck MRI of Kimura disease[J]. Br J Radiol, 2011, 84(1005): 800-804. [2]Wang J, Tang Z, Feng X, et al. Preliminary study of diffusion-weighted imaging and magnetic resonance spectroscopy imaging in Kimura disease[J]. J Craniofac Surg, 2014, 25(6): 2147-2151. [3]Chen H, Thompson LD, Aguilera NS, et al. Kimura disease: a clinicopathologic study of 21 cases[J]. Am J Surg Pathol, 2004, 28(4): 505-513. [4]Ye X, Feng Y, Lin S. Pulmonary embolism as the initial clinical presentation of Kimura disease: case report and literature review[J]. Blood Coagul Fibrinolysis, 2015, 26(4): 414-418. [5]陈敏，田为中. 累及颌面部多腺体木村病一例[J]. 中华耳鼻咽喉头颈外科杂志，2017，52（12）：949-951. [6]周俊芬，刘玉林，陈宪，等. 木村病的影像表现[J]. 中华放射学杂志，2014，48（7）：601-602. [7]Chung Y, Jee W, Kang Y, et al. Kimura’s disease involving a long bone[J]. Skeletal Radiol, 2010, 39(5): 495-500. [8]Hiwatashi A, Hasuo K, Shiina T, et al. Kimura’s disease with bilateral auricular masses[J]. AJNR, 1999, 20(10): 1976-1978. [9]Takeishi M, Makino Y, Nishioka H, et al. Kimura disease: diagnostic imaging findings and surgical treatment[J]. J Craniofac Surg, 2007, 18(5): 1062-1067. [10]Kar IB, Sethi AK. Kimura’s disease: report of a case & review of literature[J]. J Maxillofac Oral Surg, 2013, 12(1): 109-112. [11]Wang J, Takashima S, Takayama F, et al. Head and neck lesions: characterization with diffusion-weighted echo-planar MR imaging[J]. Radiology, 2001, 220(3): 621-630. [12]孙晓杰，郑松，童璐，等. 木村病骨损害一例[J]. 中华皮肤科杂志，2017，50（5）：374. [13]Chang AR, Kim K, Kim HJ, et al． Outcomes of Kimura’s disease after radiotherapy or nonradiotherapeutic treatment modalities[J]. Int J Radiat Oncol Biol Phys, 2006, 65(4): 1233-1239． [14]Yabuuchi H, Fukuya T, Tajima T, et al. Salivary gland tumors: diagnostic value of gadolinium-enhanced dynamic MR imaging with histopathologic correlation[J]. Radiology, 2003, 226(2): 345-354. [15]Motoori K, Iida Y, Nagai Y, et al. MR imaging of salivary duct carcinoma[J]. AJNR, 2005, 26(5): 1201-1206. [16]Gopinathan A, Tan TY. Kimura’s disease: imaging patterns on computed tomography[J]. Clin Radiol, 2009, 64(10): 994-999.