脊髓內(nèi)原發(fā)小細(xì)胞性骨外骨肉瘤MR表現(xiàn)1例
發(fā)布時(shí)間:2018-05-10 08:54
本文選題:脊髓 + 小細(xì)胞性骨外骨肉瘤; 參考:《中國醫(yī)學(xué)影像技術(shù)》2017年06期
【摘要】:正患兒女,5歲,因排尿困難4周就診。4周前患兒無明顯誘因出現(xiàn)排尿困難,無發(fā)熱、惡心、嘔吐,就診于當(dāng)?shù)蒯t(yī)院,無明顯好轉(zhuǎn),遂轉(zhuǎn)至我院。超聲檢查:雙腎、輸尿管、膀胱未見明顯異常,給予留置尿管,間斷夾閉尿管,癥狀未見好轉(zhuǎn)。MR檢查:T9~L1椎管內(nèi)脊髓增粗,可見混雜稍長T1稍長T2信號(圖1A、1B),形狀不規(guī)則,內(nèi)可見片狀更長T1更長T2信號;T4~9脊髓內(nèi)可見稍長T2信號。增強(qiáng)掃描T9~L1椎管內(nèi)病變可見明顯不均勻強(qiáng)化(圖1C),其內(nèi)可見片狀不強(qiáng)化區(qū)。MR診斷:室管膜瘤。行腫瘤切除術(shù),術(shù)中可見T9~12脊髓外觀呈梭形
[Abstract]:The female was 5 years old. After 4 weeks of treatment, there was no obvious cause for dysuria, no fever, nausea, vomiting, and no obvious improvement in the hospital, so the patient was transferred to our hospital. Ultrasound examination: bilateral kidney, ureter and bladder were not abnormal, the indwelling catheter was given, the urethral catheter was clamped intermittently, the symptom was not improved. Mr examination showed that the spinal cord was thickened in the spinal canal of T9L1, and the mixed T 1, slightly longer T 2 signal intensity could be seen (fig. 1 A 1 B, irregular shape). Long T 1, longer T 2 signal intensity and longer T 4 signal intensity can be seen in T 4 9 spinal cord. Contrast-enhanced T9~L1 showed significantly uneven enhancement of the spinal canal (Fig. 1C). Mr diagnosis: ependymoma. After resection of tumor, the spinal cord of T9 ~ (12) was spindle-shaped.
【作者單位】: 鄭州大學(xué)第一附屬醫(yī)院磁共振科;
【分類號】:R445.2;R739.42
【相似文獻(xiàn)】
相關(guān)期刊論文 前3條
1 安豐新 ,楊全明;胸腔內(nèi)原發(fā)性骨外骨肉瘤[J];國外醫(yī)學(xué)(臨床放射學(xué)分冊);1991年03期
2 宋偉,余衛(wèi),王云;CT診斷腹腔內(nèi)骨外骨肉瘤一例[J];中華放射學(xué)雜志;1999年01期
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