ISSN 1004-4140
CN 11-3017/P
邓侃, 徐慧, 陈玲玲, 等. 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[J]. CT理论与应用研究, 2023, 32(2): 271-277. DOI: 10.15953/j.ctta.2023.011.
引用本文: 邓侃, 徐慧, 陈玲玲, 等. 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[J]. CT理论与应用研究, 2023, 32(2): 271-277. DOI: 10.15953/j.ctta.2023.011.
DENG K, XU H, CHEN L L, et al. Imaging Diagnosis of a Rare Case of Cervical Necrotizing Fasciitis (CNF) in the Nasopharynx: A Clinical Case Analysis[J]. CT Theory and Applications, 2023, 32(2): 271-277. DOI: 10.15953/j.ctta.2023.011. (in Chinese).
Citation: DENG K, XU H, CHEN L L, et al. Imaging Diagnosis of a Rare Case of Cervical Necrotizing Fasciitis (CNF) in the Nasopharynx: A Clinical Case Analysis[J]. CT Theory and Applications, 2023, 32(2): 271-277. DOI: 10.15953/j.ctta.2023.011. (in Chinese).

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

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

  • 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。

     

    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.

     

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