脊柱血管內(nèi)皮細(xì)胞瘤一例
發(fā)布時(shí)間:2018-05-05 04:01
本文選題:血管肉瘤 + 體層攝影術(shù); 參考:《放射學(xué)實(shí)踐》2015年10期
【摘要】:正病例資料患者,男,55歲,于2個(gè)月前無(wú)明顯誘因出現(xiàn)胸部疼痛,呈刀割樣,難以耐受,服用止痛藥后緩解;颊哂1個(gè)月前出現(xiàn)雙側(cè)肋骨下緣及下肢麻木,當(dāng)?shù)蒯t(yī)院以脊髓血管病治療后無(wú)效,遂轉(zhuǎn)入我院。?撇轶w:胸1、2椎體棘突壓痛明顯,實(shí)驗(yàn)室檢查陰性。影像學(xué)表現(xiàn):CT表現(xiàn)為胸2椎體及附件膨脹性骨質(zhì)破壞,椎管稍變窄(圖1、2);MR表現(xiàn)為胸2椎體及附件稍膨脹見(jiàn)不規(guī)則片狀長(zhǎng)T1、長(zhǎng)T2、STIR高信號(hào),相應(yīng)水平椎管狹窄,脊髓受壓,脊髓內(nèi)未見(jiàn)明顯異常信號(hào),T1WI增強(qiáng)掃描病變呈顯著均勻強(qiáng)化,周圍可見(jiàn)軟組織包塊(圖3~)。術(shù)中所見(jiàn):于頸
[Abstract]:The patient, 55 years old, had no obvious cause of chest pain 2 months ago. The patient developed bilateral numbness of lower rib and lower extremity one month ago, but the local hospital failed after treatment of spinal vascular disease, so it was transferred to our hospital. Specialized physical examination: thoracic 1 and 2 vertebrae spinous process tenderness obvious, laboratory test negative. The imaging findings were as follows: thoracic 2 vertebral body and accessory expansive bone destruction, spinal canal narrowing slightly (fig. 1). Mr showed irregular long T 1, long T 2 T 2 high signal intensity, corresponding horizontal spinal stenosis and compression of spinal cord. There was no obvious abnormal signal intensity in the spinal cord. The lesions were enhanced uniformly on T _ 1WI and soft tissue masses were seen around the spinal cord (Fig. 3). Intraoperative findings: at the neck
【作者單位】: 解放軍第三醫(yī)院影像科;
【分類號(hào)】:R738;R730.44;R445.2
【相似文獻(xiàn)】
相關(guān)期刊論文 前10條
1 趙宗茂;原發(fā)性腦內(nèi)血管肉瘤[J];國(guó)外醫(yī)學(xué).神經(jīng)病學(xué)神經(jīng)外科學(xué)分冊(cè);2001年04期
2 高遠(yuǎn)紅,徐建華;血管肉瘤研究進(jìn)展[J];臨床腫瘤學(xué)雜志;2001年03期
3 向丹黎,尹斌,陳前明,朱玉梅;老年頭面部血管肉瘤1例[J];中國(guó)皮膚性病學(xué)雜志;2002年03期
4 李婭琳,張傳山,晏培松;脾血管肉瘤1例(附文獻(xiàn)復(fù)習(xí))[J];中國(guó)腫瘤臨床;2002年04期
5 姚麗青,季天海;多部位上皮樣血管肉瘤一例[J];中華腫瘤雜志;2002年01期
6 孫國(guó)花,李代瑛;脾血管肉瘤1例[J];腫瘤學(xué)雜志;2002年03期
7 盧曉男,李谷,陳力;脾血管肉瘤的診治[J];浙江創(chuàng)傷外科;2002年06期
8 王永勝,李改平;脾血管肉瘤2例診治分析[J];中國(guó)煤炭工業(yè)醫(yī)學(xué)雜志;2002年09期
9 劉倫飛,蔡綏R,
本文編號(hào):1846088
本文鏈接:http://sikaile.net/yixuelunwen/fangshe/1846088.html
最近更新
教材專著