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伴有局灶性淀粉样沉积的多发性颅内海绵状血管瘤——诊断陷阱

Multiple intracranial cavernomas with focal amyloid deposition - diagnostic pitfalls.

作者信息

Velnar T, Bunc G, Flisar D, Kulaš D, Woehrer A, Budka H, Popoviä M

机构信息

University Medical Center Maribor, Maribor, Slovenia, Institute of Neurology, Medical University of Vienna, Vienna, Austria, Institute of Pathology, Faculty of Medicine, Ljubljana, and University Medical Center, Ljubljana, Slovenia.

出版信息

Clin Neuropathol. 2011 Nov-Dec;30(6):324-7. doi: 10.5414/np300397.

Abstract

We report a case of a patient with multiple, intracranial superficial calcified tumorous lesions with focal amyloid deposition. On the basis of the first neuronavigated needle biopsy, the tumors were originally assessed as amyloidomas. Additional data was obtained from a second biopsy and supplementary neuroimaging information and the tumors were diagnosed as of vascular origin, probably cavernomas. The report exemplifies how only one diagnostic tool may sometimes be misleading in establishing a final diagnosis. The additional imaging may thoroughly enhance, supplement and improve the diagnostic process.

摘要

我们报告了一例患有多处颅内浅表钙化肿瘤性病变并伴有局灶性淀粉样蛋白沉积的患者。根据首次神经导航针吸活检,这些肿瘤最初被评估为淀粉样瘤。通过第二次活检以及补充的神经影像学信息获得了更多数据,这些肿瘤最终被诊断为血管源性,可能是海绵状血管瘤。该报告例证了在确立最终诊断时,有时仅一种诊断工具可能会产生误导。额外的影像学检查可以全面增强、补充和改进诊断过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06a0/3663471/88ee1449c7fa/clinneuropathol-30-324-01.jpg

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