关长群,周怀伟,李爱娟,冯新莉,孙文利,魏学忠,薛洪利.颅内混合瘤的影像表现与病理-超微结构和免疫组化研究[J].中国医学影像技术,2000,16(4):273~275
颅内混合瘤的影像表现与病理-超微结构和免疫组化研究
Study of Image and Pathology Ultrastructure and Immunohistochemistry in Intracranial Mixed Tumor
投稿时间:1999-10-15  
DOI:
中文关键词:  颅内混合瘤  影像  病理超微结构  免疫组化
英文关键词:Intracranial mixed tumor  Image  Pathology ultrastructure  Immunohistochemistry
基金项目:
作者单位
关长群 沈阳军区总医院放射诊断科,辽宁沈阳 110015 
周怀伟 沈阳军区总医院神经病理实验室 
李爱娟 沈阳军区总医院干一科,辽宁沈阳 110015 
冯新莉 沈阳军区总医院病理科,辽宁沈阳 110015 
孙文利 沈阳军区总医院电镜科,辽宁沈阳 110015 
魏学忠 沈阳军区总医院神经外科,辽宁沈阳 110015 
薛洪利 沈阳军区总医院放射诊断科,辽宁沈阳 110015 
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中文摘要:
      目的 提高对颅内混合瘤的CT、MRI 表现与病理相关知识的认识。方法 12 例经CT、MRI 检查及手 术光镜诊断,其中5 例作透射电镜肿瘤超微结构和免疫组化染色检查肿瘤相关抗原( GFAP、Vimentin、S2100 、FV Ⅲ因 子) 。结果 脑膜瘤和胶质母细胞瘤5 例,脑膜瘤和垂体瘤2 例,胶质母细胞瘤和脑膜瘤、垂体瘤和脑膜瘤、胶质母细 胞瘤和血管母细胞瘤、胶质母细胞瘤和血管内皮瘤、胆脂瘤和脑膜黑色素瘤各1 例。胶质母细胞瘤GFAP 强阳性,S100 弱阳性;脑膜瘤Vimentin 弱阳性,血管母细胞瘤和血管内皮瘤强阳性。结论 CT、MRI 应结合临床上病程短,发 展快等特点诊断本肿瘤。
英文摘要:
      Purpose To evaluate the knowledge of CT ,MRI features and pathology in intracranial mixed tumor. Methods 17 cases were studied with CT ,MRI and histopathology. Ultrastructure and tumor antigens ( GFAP ,Vimentin ,S-100 and Factor FV Ⅲ) were observed by transmission electron microscope and immunoh istochemistry in 5. Results Operative pathological diagnose as follows :mixed tumor of meningioma with glioblastoma in 5 ,meningioma with pituitary tumor in 2 , glioblastoma with meningioma ,pituitary tumor with meningioma ,glioblastoma with angioblastoma ,glioblastoma with angioendothelioma ,cholesteatoma with melanoma in 1 , respectively. Strong positive of GFAP and weak positive of S-100 were showed in glioblastoma ,weak positive of Vimentin in meningioma , strong positive of Vimentin in angioblastoma and angioendothelioma. Conclusion The diagnosis should be made when CT and MRI were combined with clinical features of short disease history and fast growth.
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