影像学诊断罕见发生于鼻咽部的颈部坏死性筋膜炎临床案例分析

邓侃; 徐慧; 陈玲玲; 龚玲燕; 李树平

doi:10.15953/j.ctta.2023.011

影像学诊断罕见发生于鼻咽部的颈部坏死性筋膜炎临床案例分析

海军军医大学中国人民解放军海军特色医学中心放射诊断科, 上海200052

详细信息

作者简介:
邓侃: 男，海军军医大学研究生，主要从事肿瘤预后模型与AI分析的研究，E-mail：dkdkfjfj@aliyun.com

李树平: 女，海军特色医学中心放射诊断科主任、副主任医师，研究方向为医学影像新技术的研究及应用以及分子影像学，E-mail：20739293@qq.com

通讯作者:
李树平∗，

中图分类号: R 814；R 445
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- 文章访问数: 291
- HTML全文浏览量: 110
- PDF下载量: 34
出版历程
- 收稿日期: 2023-02-03
- 修回日期: 2023-02-13
- 录用日期: 2023-02-13
- 网络出版日期: 2023-02-21
- 发布日期: 2023-03-30

Imaging Diagnosis of a Rare Case of Cervical Necrotizing Fasciitis (CNF) in the Nasopharynx: A Clinical Case Analysis

Department of Radiology, Naval Medical Center of People's Liberation Army,Naval Medical University, Shanghai 200052, China

摘要

摘要: 本文介绍1例罕见的发生于鼻咽部的颈部坏死性筋膜炎（CNF）。该患者以顽固性慢性化脓性中耳炎就诊，进行包括CT、MRI及PET/CT在内的影像学检查，均误诊为鼻咽癌。最终该患者通过鼻咽肿物活检术确诊为CNF。本文通过回顾性分析该患者的影像学表现及误诊原因，总结出CT、MRI、PET/CT在CNF早期诊断中的特征和要点，为其临床精准诊断提供重要的帮助。
- PET/CT /
- 颈部 /
- 坏死性筋膜炎 /
- 放射学
Abstract: This case report describes a rare case of cervical necrotizing fasciitis (CNF) of the nasopharynx. The patient presented with intractable chronic suppurative otitis media and underwent radiological examination including CT, MRI, and PET/CT. All of the images misdiagnosed this condition as nasopharyngeal carcinoma. Finally, the patient underwent a nasopharyngeal mass biopsy and CNF was diagnosed. A retrospective analysis of the radiological scans was performed and the causes of the misdiagnosis were evaluated. The CT, MRI, and PET/CT characteristics and key features for the early diagnosis of CNF were summarized. Our findings may contribute to current knowledge of the precise diagnosis of CNF.
- PET/CT /
- neck /
- necrotizing fasciitis /
- radiology

HTML全文

图 1 CT图像及增强

Figure 1. CT plain and contrast enhanced images

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图 2 MRI图像及增强

Figure 2. MRI plain and contrast enhanced images

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图 3 PET/CT图像

Figure 3. PET/CT images

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