Triebel H J, Heller M, Schumann R, Langkowski J H, Schäfer H J, Weh H J
Röntgendiagnostik der Radiologischen Klinik des Universitätskrankenhauses Hamburg-Eppendorf.
Rofo. 1988 Oct;149(4):354-60. doi: 10.1055/s-2008-1048360.
Thirty patients with histologically confirmed malignant schwannomas were examined. In five patients the lesions were malignant neurofibromas, as part of von Recklinghausen's disease, the others were solitary malignant schwannomas. CT appearances of malignant schwannomas are variable. Shape, structure and attenuation vary considerably. Most malignant schwannomas present with the CT criteria of benign tumours. Altogether neither the solitary schwannomas, nor those associated with von Recklinghausen's disease show specific diagnostic features, whether for the primary tumour or for recurrences. Reliable information on the nature of these lesions is possible in a few cases only.
对30例经组织学证实的恶性神经鞘瘤患者进行了检查。其中5例患者的病变为恶性神经纤维瘤，是冯雷克林霍增氏病的一部分，其余为孤立性恶性神经鞘瘤。恶性神经鞘瘤的CT表现各异。其形状、结构和密度差异很大。大多数恶性神经鞘瘤呈现出良性肿瘤的CT特征。总体而言，无论是孤立性神经鞘瘤，还是与冯雷克林霍增氏病相关的神经鞘瘤，无论是原发性肿瘤还是复发病灶，均未显示出特异性诊断特征。只有少数病例能够获得有关这些病变性质的可靠信息。
