Poster électronique

Caractérisation IRM des tumeurs parotidiennes
C. Jemli Chammakhi, I. Belhassen, B. Mekki, S. Seghaier, I. Harigua, S. Shili, A. El Khedim, MH. Daghfous - Tunis - Tunisie
Congrès 2010
Résumé
Objectifs
Les tumeurs parotidiennes représentent 3 % des tumeurs cervicales, elles sont rares et bénignes dans 80 % des cas. L'imagerie notamment l'IRM a une place diagnostique importante. Nous allons essayer à travers ce travail d’approcher la nature histologique des tumeurs bénignes les plus fréquentes.
Matériels et méthodes
Notre étude est basée sur la confrontation des résultats de l'IRM et de l'anatomopathologie chez 30 patients consultant pour une tuméfaction parotidienne ayant pour la plupart bénéficié d'une parotidectomie.
Résultats
Dans notre série on retrouve 3,3 % de tumeurs malignes et 90 % de tumeurs bénignes (40 % d'adénome pléomorphe (AP) et 37 % de cystadénolymphome (CA), 7,4 % d'hémangiome, 7,4 % de kyste et 3,7 % de lipome), l'âge moyen est de 46,9, une prédominance masculine avec un sexe ratio de 0,66. La concordance IRM et résultats anatomopathologiques dans le diagnostic d'AP versus autres tumeurs est significative (valeur de Kappa est de 0.85), la concordance IRM et résultats anatomopathologiques est également significative dans le diagnostic de CA versus autres tumeurs (avec une valeur de kappa égale à 0.91).
Conclusion
L'IRM est incontestablement le meilleur examen d'imagerie pour détecter, localiser et caractériser une lésion parotidienne.
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2017-08-24 09.04 :
Ann Perez

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