原發(fā)性腦淋巴瘤不典型MRI表現(xiàn)1例
發(fā)布時(shí)間:2018-06-26 12:11
本文選題:腦腫瘤 + 淋巴瘤; 參考:《中國醫(yī)學(xué)影像技術(shù)》2017年02期
【摘要】:正患者男,61歲,因視物模糊2年、加重1個(gè)月就診。MRI:左側(cè)枕葉片狀長T1長T2信號(hào),周圍厚壁環(huán)繞,周圍可見不規(guī)則片狀稍長T1稍長T2異常信號(hào),鄰近左側(cè)側(cè)腦室后角受壓(圖1A);DWI示環(huán)壁呈稍高信號(hào),中心呈低信號(hào)(圖1B);增強(qiáng)掃描示病灶呈厚薄不均的環(huán)形強(qiáng)化,強(qiáng)化明顯,內(nèi)見小片狀強(qiáng)化影,瘤周水腫未強(qiáng)化(圖1C)。影像學(xué)診斷:考慮星形細(xì)胞瘤(Ⅱ~Ⅲ級(jí))。患者接受開顱腫瘤切除術(shù),術(shù)中見腫瘤組織位于
[Abstract]:The male patient was 61 years old, with blurred vision for 2 years, aggravated by 1 month. MRI: left occipital lobes with long T 1 and long T 2 signal intensity, surrounding thick wall, irregular flake shape slightly long T 1 and long T 2 abnormal signal intensity. The compression of the posterior horn of the left ventricle (Fig. 1A) showed a slightly high signal intensity in the ring wall and a low signal intensity in the center (Fig. 1B), while the enhancement showed that the lesion showed a thin and uneven circular enhancement with obvious enhancement, small patches of enhancement, and no enhancement of peri-tumour edema (Fig. 1C). Imaging diagnosis: astrocytoma (grade 鈪,
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