Reis C, Lopes J M, Carneiro E, Vilarinho A, Portugal R, Duarte F, Fonseca J
Department of Neuroradiology, Hospital S. João, Porto, Portugal.
AJNR Am J Neuroradiol. 2006 Sep;27(8):1660-2.
We report a case of large temporal giant cell reparative granuloma in a 72-year-old man. MR imaging depicted a right temporal expansile multiloculated lesion, with hyper- and hypointense signal areas on T2-weighted images, heterogeneously enhancing after gadolinium administration. Cortical thinning and bone remodeling of the temporal squamous portion were better seen on CT. The patient underwent surgery, and the diagnosis was achieved by the correlation of imaging, histologic, and laboratory findings.
我们报告一例72岁男性的巨大颞部骨巨细胞修复性肉芽肿病例。磁共振成像显示右侧颞部有一个膨胀性多房性病变,在T2加权图像上有高信号和低信号区域,钆增强后呈不均匀强化。颞骨鳞部的皮质变薄和骨质重塑在CT上显示得更清楚。患者接受了手术,通过影像学、组织学和实验室检查结果的相互关联得以确诊。