. . "Pipkov\u00E1, Renata" . "11130" . . "3" . "Zobrazen\u00ED slinn\u00FDch \u017El\u00E1z magnetickou rezonanc\u00ED" . "68" . "RIV/00216208:11130/14:10293036" . . "Bejlkov\u00E1, Zuzana" . "57726" . "Mik\u0161\u00EDk, Luk\u00E1\u0161" . "N\u00E1dory slinn\u00FDch \u017El\u00E1z tvo\u0159\u00ED 3 % v\u0161ech n\u00E1dor\u016F, v\u011Bt\u0161inou jsou benign\u00ED a nej\u010Dast\u011Bji postihuj\u00ED p\u0159\u00EDu\u0161n\u00ED \u017El\u00E1zu. Riziko malignity n\u00E1dor\u016F stoup\u00E1 s men\u0161\u00EDmi rozm\u011Bry posti\u017Een\u00E9 \u017El\u00E1zy. Klinick\u00E9 rozli\u0161en\u00ED n\u00E1dor\u016F slinn\u00FDch \u017El\u00E1z je obt\u00ED\u017En\u00E9. MR m\u00E1 v diferenci\u00E1ln\u00ED diagnostice nezastupitelnou roli. Prvn\u00ED metodou volby v diagnostice patologie slinn\u00FDch \u017El\u00E1z je UZ. MR je up\u0159ednost\u0148ov\u00E1na pro posouzen\u00ED lo\u017Eisek hlubok\u00E9ho listu p\u0159\u00EDu\u0161n\u00ED \u017El\u00E1zy, podjazykov\u00E9 \u017El\u00E1zy a mal\u00FDch slinn\u00FDch \u017El\u00E1zek, perineur\u00E1ln\u00EDho \u0161\u00ED\u0159en\u00ED, posti\u017Een\u00ED hluboko ulo\u017Een\u00FDch m\u011Bkk\u00FDch tk\u00E1n\u00ED a lymfatick\u00FDch uzlin. Pleomorfn\u00ED adenom je nej\u010Dast\u011Bj\u0161\u00ED n\u00E1dor slinn\u00FDch \u017El\u00E1z, v\u011Bt\u0161inou v povrchov\u00E9m listu p\u0159\u00EDu\u0161n\u00ED \u017El\u00E1zy, s vazivov\u00FDm pouzdrem. S odstupem se z n\u011Bj m\u016F\u017Ee vytvo\u0159it karcinom, \u010Dasto v\u00EDce lo\u017Eiskov\u00FD. Nehomogenita parenchymu se solidn\u00EDmi a cystick\u00FDmi okrsky, nev\u00FDrazn\u00E9 sycen\u00ED po aplikaci GdKL, vy\u0161\u0161\u00ED pom\u011Br vymyt\u00ED kontrastu a ni\u017E\u0161\u00ED st\u0159edn\u00ED ADC hodnota ne\u017E u malign\u00EDch n\u00E1dor\u016F jsou charakteristick\u00E9 pro Warthin\u016Fv n\u00E1dor, kter\u00FD postihuje p\u0159ev\u00E1\u017En\u011B ku\u0159\u00E1ky. Mukoepidermoidn\u00ED karcinom ni\u017E\u0161\u00EDho stupn\u011B m\u016F\u017Ee imitovat pleomorfn\u00ED adenom, vy\u0161\u0161\u00EDho stupn\u011B \u010Dasto metastazuje do lymfatick\u00FDch uzlin. Adenoidn\u011B cystick\u00FD karcinom se \u010Dasto \u0161\u00ED\u0159\u00ED perineur\u00E1ln\u011B, recidivuje i v del\u0161\u00EDm odstupu po operaci. Na T2 m\u00E1 st\u0159edn\u00ED, histologicky vy\u0161\u0161\u00ED stupe\u0148 n\u00E1doru a\u017E n\u00EDzk\u00FD sign\u00E1l. V\u00FDjime\u010Dn\u011B do slinn\u00FDch \u017El\u00E1z metastazuj\u00ED jin\u00E9 n\u00E1dory, n\u00E1dor plic a prsu, z ko\u017En\u00EDch pak karcinom z dla\u017Edicov\u00FDch bun\u011Bk \u010Di melanom. Sj\u00F3gren\u016Fv syndrom je charakterizov\u00E1n mno\u017Estv\u00EDm drobn\u00FDch cystoidn\u00EDch struktur v parenchymu \u017El\u00E1zy. Lymfom m\u016F\u017Ee postihovat lymfatickou tk\u00E1\u0148 p\u0159\u00EDu\u0161n\u00ED \u017El\u00E1zy nebo uzliny v jej\u00EDm okol\u00ED prim\u00E1rn\u011B \u010Di v d\u016Fsledku syst\u00E9mov\u00E9 choroby."@cs . "\u010Cesk\u00E1 radiologie" . "[61297DB5F249]" . "Lis\u00FD, Ji\u0159\u00ED" . . "Magnetic resonance imaging of salivary glands"@en . "Magnetic resonance imaging of salivary glands"@en . . . "11"^^ . "I, V" . . "N\u00E1dory slinn\u00FDch \u017El\u00E1z tvo\u0159\u00ED 3 % v\u0161ech n\u00E1dor\u016F, v\u011Bt\u0161inou jsou benign\u00ED a nej\u010Dast\u011Bji postihuj\u00ED p\u0159\u00EDu\u0161n\u00ED \u017El\u00E1zu. Riziko malignity n\u00E1dor\u016F stoup\u00E1 s men\u0161\u00EDmi rozm\u011Bry posti\u017Een\u00E9 \u017El\u00E1zy. Klinick\u00E9 rozli\u0161en\u00ED n\u00E1dor\u016F slinn\u00FDch \u017El\u00E1z je obt\u00ED\u017En\u00E9. MR m\u00E1 v diferenci\u00E1ln\u00ED diagnostice nezastupitelnou roli. Prvn\u00ED metodou volby v diagnostice patologie slinn\u00FDch \u017El\u00E1z je UZ. MR je up\u0159ednost\u0148ov\u00E1na pro posouzen\u00ED lo\u017Eisek hlubok\u00E9ho listu p\u0159\u00EDu\u0161n\u00ED \u017El\u00E1zy, podjazykov\u00E9 \u017El\u00E1zy a mal\u00FDch slinn\u00FDch \u017El\u00E1zek, perineur\u00E1ln\u00EDho \u0161\u00ED\u0159en\u00ED, posti\u017Een\u00ED hluboko ulo\u017Een\u00FDch m\u011Bkk\u00FDch tk\u00E1n\u00ED a lymfatick\u00FDch uzlin. Pleomorfn\u00ED adenom je nej\u010Dast\u011Bj\u0161\u00ED n\u00E1dor slinn\u00FDch \u017El\u00E1z, v\u011Bt\u0161inou v povrchov\u00E9m listu p\u0159\u00EDu\u0161n\u00ED \u017El\u00E1zy, s vazivov\u00FDm pouzdrem. S odstupem se z n\u011Bj m\u016F\u017Ee vytvo\u0159it karcinom, \u010Dasto v\u00EDce lo\u017Eiskov\u00FD. Nehomogenita parenchymu se solidn\u00EDmi a cystick\u00FDmi okrsky, nev\u00FDrazn\u00E9 sycen\u00ED po aplikaci GdKL, vy\u0161\u0161\u00ED pom\u011Br vymyt\u00ED kontrastu a ni\u017E\u0161\u00ED st\u0159edn\u00ED ADC hodnota ne\u017E u malign\u00EDch n\u00E1dor\u016F jsou charakteristick\u00E9 pro Warthin\u016Fv n\u00E1dor, kter\u00FD postihuje p\u0159ev\u00E1\u017En\u011B ku\u0159\u00E1ky. Mukoepidermoidn\u00ED karcinom ni\u017E\u0161\u00EDho stupn\u011B m\u016F\u017Ee imitovat pleomorfn\u00ED adenom, vy\u0161\u0161\u00EDho stupn\u011B \u010Dasto metastazuje do lymfatick\u00FDch uzlin. Adenoidn\u011B cystick\u00FD karcinom se \u010Dasto \u0161\u00ED\u0159\u00ED perineur\u00E1ln\u011B, recidivuje i v del\u0161\u00EDm odstupu po operaci. Na T2 m\u00E1 st\u0159edn\u00ED, histologicky vy\u0161\u0161\u00ED stupe\u0148 n\u00E1doru a\u017E n\u00EDzk\u00FD sign\u00E1l. V\u00FDjime\u010Dn\u011B do slinn\u00FDch \u017El\u00E1z metastazuj\u00ED jin\u00E9 n\u00E1dory, n\u00E1dor plic a prsu, z ko\u017En\u00EDch pak karcinom z dla\u017Edicov\u00FDch bun\u011Bk \u010Di melanom. Sj\u00F3gren\u016Fv syndrom je charakterizov\u00E1n mno\u017Estv\u00EDm drobn\u00FDch cystoidn\u00EDch struktur v parenchymu \u017El\u00E1zy. Lymfom m\u016F\u017Ee postihovat lymfatickou tk\u00E1\u0148 p\u0159\u00EDu\u0161n\u00ED \u017El\u00E1zy nebo uzliny v jej\u00EDm okol\u00ED prim\u00E1rn\u011B \u010Di v d\u016Fsledku syst\u00E9mov\u00E9 choroby." . "3"^^ . "Z\u00E1brodsk\u00FD, Michal" . "Zobrazen\u00ED slinn\u00FDch \u017El\u00E1z magnetickou rezonanc\u00ED"@cs . "Tumors of salivary glands forms 3% of all tumors. Majority of them is benign, parotid gland is most commonly involved. Risk of malignity is increasing with reduced size of involved gland. Clinical differentiation of salivary gland tumors is difficult. MRI is therefore important in differential diagnosis. Ultrasound is first method of choice in diagnostics of pathological involvement of salivary glands. MRI is preferred for evaluation of foci involving deep lobe of parotid gland, sublingual gland, minor salivary glands, deeply placed soft tissue and lymphatic nodes and perineural spread. Pleomorphic adenoma is the most common tumor of salivary glands, mostly in superficial lobe with fibrous capsule. Carcinoma, usually multifocal, can develop later from adenoma. Inhomogeneity of parenchyma with solid and cystic portions, mild enhancement after Gadolinium chelate application, higher wash out ratio and lower mean ADC value than in malignant tumors are characteristic for Warthin tumor, involving largely smokers. Mucoepidermoid carcinoma of lower grade can mimic pleomorphic adenoma, higher grade carcinoma often metastasize to lymphatic nodes. Adenoid cystic carcinoma often spreads perineuraly, makes recurrence in long delay after surgery. It has intermediate T2W signal, higher grade of tumor has even low T2W signal. Metastases into salivary gland are exceptional, commonly from lung and breast carcinoma, from skin squamous cell carcinoma or melanoma. Multiple small cystic structures in parenchyma of gland are characteristic for Sj\u00F3gren syndrome. Lymphoma can involve lymphoid tissue of parotid gland or adjacent lymphatic nodes, either primary or secondary by systemic involvement."@en . "carcinoma; Warthin tumor; pleomorphic adenoma; salivary glands; magnetic resonance imaging"@en . . . . "Kucha\u0159, Martin" . "Zobrazen\u00ED slinn\u00FDch \u017El\u00E1z magnetickou rezonanc\u00ED" . "Bou\u010Dek, Jan" . . . "Campr, V\u00EDt" . "CZ - \u010Cesk\u00E1 republika" . "RIV/00216208:11130/14:10293036!RIV15-MSM-11130___" . . . . "9"^^ . "http://www.cesradiol.cz/dwnld/CesRad_1403_201_211.pdf" . . "1210-7883" . . "Zobrazen\u00ED slinn\u00FDch \u017El\u00E1z magnetickou rezonanc\u00ED"@cs . "Strakov\u00E1, Kristina" . .