【摘 要】
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患者,男,27岁,以"回吸性血涕4个月余,头痛2个月"为主诉于2013.11.25至我院就诊,入院后完善相关检查,鼻咽+颈部MRI平扫+动态增强显示：①鼻咽顶壁及后壁增厚,呈软组织肿块影
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患者,男,27岁,以"回吸性血涕4个月余,头痛2个月"为主诉于2013.11.25至我院就诊,入院后完善相关检查,鼻咽+颈部MRI平扫+动态增强显示：①鼻咽顶壁及后壁增厚,呈软组织肿块影,向上部分突向左侧后鼻道,向下部分充填咽腔,并向左侧咽旁间隙侵犯,T1WI呈等信号,T2WI呈稍高信号.左侧咽隐窝及咽鼓管咽口变浅.②双侧颈部Ⅱ～Ⅴ区见多发淋巴结影,最大者直径约30mm,部分相连,边界不清.③注入Gd-DTPA后,肿块明显强化,向外侵犯翼内肌、腭帆张肌、腭帆提肌,向后侵犯斜坡左份、头长肌,向上侵犯颅底,向下侵犯部分口咽壁.颈部Ⅱ～Ⅴ区多发淋巴结轻度强化.
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