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计算机断层扫描诊断出孤立性脑肿瘤后会怎样?对苏格兰东南部一年经验的审计。

What follows diagnosis by computed tomography of solitary brain tumour? Audit of one year's experience in South East Scotland.

作者信息

Todd N V, McDonagh T, Miller J D

出版信息

Lancet. 1987 Mar 14;1(8533):611-2. doi: 10.1016/s0140-6736(87)90244-3.

DOI:10.1016/s0140-6736(87)90244-3
PMID:2881141
Abstract

The referral rate to neurosurgeons after diagnosis by computed tomography (CT) of solitary brain tumour (SBT) was audited for South East Scotland in 1985. 142 patients had SBT diagnosed by CT, but histological confirmation by biopsy or open operation was sought in only 67. Among these the CT diagnosis of glioma proved to be incorrect in 3 of 44 cases and that of solitary metastasis in 4 of 8 cases. Since CT diagnosis of SBT is not fully reliable, biopsy should be considered in all cases.

摘要

1985年对苏格兰东南部经计算机断层扫描(CT)诊断为孤立性脑肿瘤(SBT)后转诊至神经外科医生的比率进行了审核。142例患者经CT诊断为SBT,但仅67例通过活检或开放手术寻求组织学确诊。在这些病例中,44例神经胶质瘤的CT诊断有3例错误,8例孤立性转移瘤的CT诊断有4例错误。由于SBT的CT诊断并非完全可靠,所有病例均应考虑进行活检。

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