Nontuberculous mycobacterial lymphadenitis of the head and neck: radiologic observations and clinical context
Nontuberculous mycobacterial lymphadenitis of the head and neck: radiologic observations and clinical context
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DOI：
10.1007/s00247-003-0884-y
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发表时间：
2003-06-01
影响因子：
2.3
通讯作者：
Kraut, MA
中科院分区：
文献类型：
--
作者：
Bagla, S;Tunkel, D;Kraut, MA
目的：总结免疫功能正常儿童NTMA的影像学表现，并回顾这些患者的临床和实验室表现，以及治疗和临床过程。材料与方法：我们回顾了计算机断层扫描（CT）的研究，以及11例实验室确诊的NTMA患者的临床病程，并记录了受影响的淋巴结的解剖位置。结果：11例患者中10例为周边强化、中央囊性结节。在7名患者中，存在（通常为轻度）区域脂肪炎症和覆盖皮肤增厚。腮腺和颌下区腺病最常见。在4例患者中，有一个以上的淋巴结组参与。结论：对于颈部肿块增大，放射学显示中央囊性淋巴结肿块，周围脂肪的肿块效应或炎性改变相对较小的儿童，应考虑NTMA的诊断。
Objective: To summarize the radiologic findings in our series of immunocompetent children with NTMA and to review the clinical and laboratory findings, as well as the treatment and clinical courses, in these patients. Materials and methods: We reviewed the computed tomographic (CT) studies, as well as the clinical courses of eleven patients with laboratory-confirmed diagnosis of NTMA, and recorded the anatomic locations of the affected lymph nodes. Results: In 10 of 11 patients, there were peripherally enhancing, centrally cystic nodes. In 7 of the patients, there was (usually mild) inflammation of the regional fat and overlying skin thickening. Adenopathy in the parotid and submandibular regions was most common. In 4 of the patients, there was more than one nodal group involved. Conclusion: In a child who presents with enlarging neck masses and with radiologically demonstrated centrally cystic nodal masses exhibiting relatively little mass effect or inflammatory change in the surrounding fat, the diagnosis of NTMA should be entertained.