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颅底软骨瘤的影像诊断

Imaging Diagnosis of Skull Base Chondromas

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【作者】 尚京伟戴建平高培毅刘翔

【Author】 SHANG Jing-wei,DAI Jian-ping,GAO Pei-yi,LIU Xiang(Department of Neuroradiology,Beijing Neurosurgical Institute,Beijing 100050,China)

【机构】 北京市神经外科研究所神经放射室!北京100050

【摘要】 目的 探讨CT、MRI诊断颅底软骨瘤的价值。方法 分析 8例颅底软骨瘤的病因、病理、影像表现及鉴别诊断。女性 5例 ,男性 3例。年龄 2 5~ 48岁。 8例临床症状表现有颅神经损害。 3例CT、MR ,4例MRI,1例CT检查。结果  3例位于海绵窦 ,2例斜坡 ,2例颈静脉孔 ,1例前颅窝。 4例CT检查肿瘤中都表现有斑块样钙化。 4例CT增强检查肿瘤不均匀强化 ,边界清楚。结论 CT对于颅底软骨瘤的诊断具有极其重要价值。MR在显示肿瘤生长方式以及肿瘤与邻近结构的解剖关系上明显优于CT。

【Abstract】 Objective To evaluate the value of CT MRI in diagnosing skull base chondromas.Methods 8 cases of skull base chondromas were analyzed with etiology,pathology,imaging fetures and differential diagnosis.5 cases were female,3 cases were male,age ranged from 25 to 48 years.The clinical presentation of 8 cases of skull base chondromas had neurologic syndrome.And 3 cases were examined with CT,MR imaging ,4 cases with MR imaging,1 case with CT scanning.Results In this series of 8 chondromas,3 located in the cavernous sinus,2 in the clival region,2 in the region of jugular foramen,1 in the frontal cranial fossa.Intratumoral calcification was found in 4 cases with CT examination.Heterogeneous enhancement was found in 4 cases with CT examination.The margin of chondromas on CT was well defined.Conclusion CT have a very important diagnosis values for detecting tumors on chondromas.MRI is superior to CT for delineating the growth style of the tumor and its relationship to the surrounding anatomic structures.

【关键词】 颅底肿瘤软骨瘤CTMRI
【Key words】 skull base tumorchondromacomputed tomographymagnetic resonance imaging
  • 【文献出处】 实用放射学杂志 ,Journal of Practical Radiology , 编辑部邮箱 ,2001年05期
  • 【分类号】R739.41
  • 【被引频次】6
  • 【下载频次】241
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