J4 ›› 2015, Vol. 14 ›› Issue (8): 45-48.

• 临床医学 • 上一篇    下一篇

脉络丛乳头状瘤的影像诊断与病理对照分析

  

  1. (1.大理学院曲靖教学医院,云南曲靖655000;2.南通市第三人民医院,江苏南通226000)
  • 收稿日期:2014-09-25 出版日期:2015-08-15 发布日期:2015-08-15
  • 作者简介:蒋超梅,主治医师,主要从事中枢、体部疾病的CT诊断研究.

Comparative Analysis of Imaging Diagnosis and Pathological Diagnosis in Choroid Plexus Papilloma

  1. (1. Qujing Teaching Hospital of Dali University, Qujing, Yunnan 655000, China; 2. No.3 Hospital of Nantong, Nantong, Jiangsu
    226000, China)
  • Received:2014-09-25 Online:2015-08-15 Published:2015-08-15

摘要:

目的:探讨脉络丛乳头状瘤的CT、MRI特征并与病理进行对照分析,目的在于提高对本病的认识。方法:回顾性分析经
手术及病理证实的19例脉络丛乳头状瘤的CT、MRI表现,其中5例患者行CT检查、10例行MRI检查、4例同时行CT和MRI检
查,并将影像学表现与术后病理进行对照。结果:肿瘤位于四脑室13例,侧脑室5例,桥小脑角区1例;肿瘤边缘呈乳头状或分
叶状18例,MRI增强后内部出现桑椹样或颗粒状强化13例;病灶内出现钙化6例,出血2例,脑积水18例。病理诊断脉络丛乳
头状瘤(WHO I级)14例,非典型脉络丛乳头状瘤(WHO II级)5例。结论:脉络丛乳头状瘤的影像学表现与病理学特征密切相
关,病理学基础有助于理解该病的影像学表现。

关键词: 脉络丛乳头状瘤, 体层摄影技术, X线计算机, 磁共振成像

Abstract:

Objective: To investigate the phenotypes of choroids plexus papiloma in CT, MRI and comparatively analyze them with
pathologic manifestations so as to understand this disease. Methods: A retrospective analysis of CT and MRI phenotype was applied in
19 cases of choroids plexus papilloma, confirmed by surgery and pathology, among which 5 cases were checked with CT, 10 with MRI,
4 with CT and MRI. Image finding was compared with pathological result. Results: There were 13 cases of tumor in the fourth
ventricle, 5 in the lateral ventricle, 1 in cerebellum pontine angle;there were 18 cases of papillary tumor margins or ovulated, 13 cases
of tumor enhancement after internal mulberry-like or granular enhanced in MRI; And there were 6 cases of tumor lesions calcification,
2 of hemorrhage, 18 of hydrocephalus. There were 14 cases of tumor diagnosis choroids plexus papilloma(grade I), 5 cases diagnosis
atypical choroids plexus papilloma(II level)in pathological diagnosis. Conclusion: A close link exists in imaging performance and
pathological features of choroids plexus papilloma, pathological features could help us understand imaging performance.

Key words: choroids plexus papilloma, tomography, X-ray computed, magnetic resonance imaging

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