Deiana G, Mottolese C, Hermier M, Louis-Tisserand G, Berthezene Y
Department of Neuroradiology, Hôpital Neurologique de Lyon « Pierre-Wertheimer », Lyon, France.
Service of Paediatric Neurosurgery, U 501, Hôpital Neurologique de Lyon « Pierre-Wertheimer », Lyon, France.
Neurochirurgie. 2015 Apr-Jun;61(2-3):113-22. doi: 10.1016/j.neuchi.2014.10.111. Epub 2015 Feb 9.
Pineal tumors are rare and include a large variety of entities. Germ cell tumors are relatively frequent and often secreting lesions. Pineal parenchymal tumors include pineocytomas, pineal parenchymal tumor of intermediate differentiation, pineoblastomas and papillary tumors of the pineal region. Other lesions including astrocytomas and meningiomas as well as congenital malformations i.e. benign cysts, lipomas, epidermoid and dermoid cysts, which can also arise from the pineal region. Imagery is often non-specific but detailed analysis of the images compared with the hormone profile can narrow the spectrum of possible diagnosis.
松果体肿瘤较为罕见,包括多种类型。生殖细胞肿瘤相对常见,且常为分泌性病变。松果体实质肿瘤包括松果体细胞瘤、中间分化的松果体实质肿瘤、松果体母细胞瘤以及松果体区乳头状肿瘤。其他病变包括星形细胞瘤、脑膜瘤以及先天性畸形,即良性囊肿、脂肪瘤、表皮样囊肿和皮样囊肿,这些也可起源于松果体区。影像学表现通常不具有特异性,但将图像与激素谱进行详细分析可缩小可能的诊断范围。