胸段髓外硬膜下不典型黏液乳頭型室管膜瘤一例
本文選題:室管膜瘤 切入點(diǎn):乳頭型 出處:《臨床放射學(xué)雜志》2017年02期 論文類型:期刊論文
【摘要】:正患者女,41歲。因間斷性后背疼痛1年,雙下肢無力4個(gè)月入院。既往無特殊病史,本次發(fā)病前無感染病史。?撇轶w陰性。實(shí)驗(yàn)室檢查腫瘤相關(guān)生長(zhǎng)因子74.0 U/mL。脊柱MRI示:胸3~8椎體層面髓外硬膜下可見一條形以長(zhǎng)T_1、短T_2信號(hào)為主的混雜信號(hào)影,邊界欠清,其內(nèi)可見小灶狀短T_1、長(zhǎng)T_2信號(hào)影;病灶鄰近脊髓受壓明顯,但未見明顯受侵征象。增強(qiáng)掃描病灶明顯不均勻性強(qiáng)化,病灶上、下方脊髓表面均可見帶狀強(qiáng)化影。手術(shù)及病理:腫瘤位于胸3~8椎體層面髓外硬脊膜下,腫瘤包膜完整,質(zhì)軟,色灰白,與鄰近脊髓組織分界清楚,脊
[Abstract]:The female patient was 41 years old. She was admitted to hospital for 1 year due to intermittent back pain and 4 months of weakness in both lower extremities. There was no history of infection before the onset. The subject was negative. Laboratory examination of tumor-associated growth factor 74.0 U / mL.Spinal MRI showed that a long T 1, short T 2 signal could be seen under the epidural epidural of thoracic 38 vertebrae, and the boundary was not clear. The small focal short T _ (1) and long T _ 2 signals were observed in the lesions, the compression of the adjacent spinal cord was obvious, but no obvious signs of invasion were observed. Surgical and pathological findings: the tumor is located under the epidural spinal cord of the thoracic vertebrae. The capsule of the tumor is intact, soft, gray and white, and the spinal cord is clearly separated from the adjacent spinal cord.
【作者單位】: 蘭州軍區(qū)蘭州總醫(yī)院影像診斷中心;
【分類號(hào)】:R739.42;R445.2
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