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颅底软骨瘤及软骨肉瘤的影像学诊断7例报告[J]. 肿瘤防治研究, 2000, 27(02): 126-127. DOI: 10.3971/j.issn.1000-8578.2173
引用本文: 颅底软骨瘤及软骨肉瘤的影像学诊断7例报告[J]. 肿瘤防治研究, 2000, 27(02): 126-127. DOI: 10.3971/j.issn.1000-8578.2173
Imagelogical Diagnosis of Chondroma and Chondrosarcoma of Intracrania Basis Report of 7 Cases[J]. Cancer Research on Prevention and Treatment, 2000, 27(02): 126-127. DOI: 10.3971/j.issn.1000-8578.2173
Citation: Imagelogical Diagnosis of Chondroma and Chondrosarcoma of Intracrania Basis Report of 7 Cases[J]. Cancer Research on Prevention and Treatment, 2000, 27(02): 126-127. DOI: 10.3971/j.issn.1000-8578.2173

颅底软骨瘤及软骨肉瘤的影像学诊断7例报告

Imagelogical Diagnosis of Chondroma and Chondrosarcoma of Intracrania Basis Report of 7 Cases

  • 摘要: 目的 分析颅底软骨瘤及软骨肉瘤的影像学表现,提高诊断水平。方法 7例经头颅X线平片配合CT、脑血管造影、MRI检查,经手术病理证实。结果 1.头颅X线片和CT:鞍区团絮状高密度钙化肿块2例,低密度钙化1例,等密度、高密度4例,强化后不均匀增强5例。2.脑血管造影:颈内动脉、大脑中动脉、大脑前动脉受压移位,无肿瘤血管染色2例;3.MRI:MRI T1WI像不均匀低信号及不均匀增强,T2WI像不均匀高信号4例,手术病理诊断:软骨瘤6例,软骨肉瘤1例。结论 头颅X线片和CT对鞍旁颅中窝大量钙化的软骨瘤容易诊断。对不典型者,应配合MRI或DSA脑血管造影检查有助于正确诊断。

     

    Abstract: Objective To improve diagnostic level,imagelogical features of chondroma and chondrosarcoma of intracrania basis were analyzed. Methods Plain radiograph and CT of skull,cerebral angiography and MRI features were analyzed in 7 cases with chondroma and chondrosarcoma verified by operative pathology. Results 1.Plain radiograph and CT of skull:In saddle zone cotton-ball-like high-density calcificative mass was found in 2,low intensive calcification in 1,isoindensity and high intensity in 4,and inhomogeneous density after enhancement in 5.2.Cerebral angiography:Artria carotic intena, arteria cerebri media and arteria ceriebri anterior were crushed out of position in 2.The tumor was negative for staining.3.MRI:Inhomogeneous low signal and inhomogeneous intensification were showed on T1-weighted images and inhomogeneous high signal was seen on T2-weighted images in 4.Operative pathological diagnosis:6 cases were diagnosed as chondromas,1 case as chondrosarcoma. Conclusion It is easy to diagnose chondromas which was in saddle-side middle cranial fossa with calcification in plain radiograph and CT of skull.It will be helpful to the atypical cases when MRI or DSA cerebral angiography was done.

     

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