惠旭辉,毛伯镛,游潮.颅后窝实体性血管网织细胞瘤临床及CT 误诊分析[J].中国医学影像技术,2000,16(6):0442~444
颅后窝实体性血管网织细胞瘤临床及CT 误诊分析
Study of Clinical and CT Features of Solid Hemangioblastoma in the Posterior Fossa
投稿时间:1999-12-11  
DOI:
中文关键词:  血管网织细胞瘤  CT 诊断  颅窝
英文关键词:Hemangioblastoma  CT diagnosis  Cranial fossa
基金项目:
作者单位
惠旭辉 华西医科大学附属第一医院神经外科,四川成 都610041 
毛伯镛 华西医科大学附属第一医院神经外科,四川成 都610041 
游潮 华西医科大学附属第一医院神经外科,四川成 都610041 
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中文摘要:
      目的探讨颅后窝实体性血管网织细胞瘤临床和CT 特点,分析CT 误诊原因,以提高诊断率。方法 对手术及病理证实的32 例颅后窝实体性血管网织细胞瘤的临床及CT 进行回顾性分析,并对其诊断及鉴别诊断进 行讨论。结果本组术前仅3 例诊为本病;本病典型表现为青壮年CT 平扫为等密度,增强后明显强化的高密度不 规则或分叶状团块占位影,CT 值77~154Hu ,8 例显示肿瘤供应血管影,瘤周无或有轻度水肿。结论颅后窝实体 性血管网织细胞瘤的诊断必须注意CT 影像与临床病史相结合。
英文摘要:
      Objective To study the clinical and CT characteristics of solid hemangioblastoma in the posterior fossa and improve the diagnostic rate. Methods A retrospective analysis of the clinical and CT manifestations in 32 patients with sol- id hemangioblastoma in the posterior fossa was conducted. The diagnosis and differential diagnosis were discussed. Results Diagnosis rate by radiologists preoperatively was 3/ 32. The CT tipical feature is a isodensity occupation with nonenhance- ment and a marked hyperdensity occupation with contrast enhancement in the posterior fossa in the adults. CT value was 77 ~154Hu. The vessels supplied to tumor were revealed in 8 patients. There was non or slight edema in the peritumor zone. Conclusion The diagnosis of solid hemangioblastoma of the posterior fossa by CT scan must refer to the clinical manifesta- tion of the patient .
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