患者男性,64岁,反复鼻出血3月,伴头痛耳鸣月余,患者行MR图像如下,最有可能的诊断是A.恶性淋巴瘤B.颅咽管瘤C.鼻咽癌D.鼻咽纤维血管瘤 ...

作者: rantiku 人气: - 评论: 0
问题 患者男性,64岁,反复鼻出血3月,伴头痛耳鸣月余,患者行MR图像如下,最有可能的诊断是
选项 A.恶性淋巴瘤 B.颅咽管瘤 C.鼻咽癌 D.鼻咽纤维血管瘤 E.慢性鼻咽炎
答案 C
解析 :鼻咽部6cm肿块,T1WI低信号,T2WI等信号,颈部淋巴结明显广泛肿大。淋巴瘤鼻咽部一般无肿块,颅咽管瘤多发生在鞍区,鼻咽纤维血管瘤颈部淋巴结不大。

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