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CT扫描的临床表现及位置与世界卫生组织脑膜瘤组织病理学分级有关吗?一项回顾性研究。

Are the clinical manifestations of CT scan and location associated with World Health Organization histopathological grades of meningioma?: A retrospective study.

作者信息

Behzadmehr Razieh, Behzadmehr Rezvaneh

机构信息

Department of Radiology, Zabol University of Medical Sciences, Zabol, Islamic Republic of Iran.

GP, Zabol University of Medical Sciences, Zabol, Islamic Republic of Iran.

出版信息

Ann Med Surg (Lond). 2021 Apr 30;66:102365. doi: 10.1016/j.amsu.2021.102365. eCollection 2021 Jun.

Abstract

INTRODUCTION

meningioma is the most common intracranial tumor. CT scan is a common method for diagnosis. WHO classified meningioma into 3 histological grades? This study aims to evaluate the relation of different meningioma signs on CT and tumor distribution regard to WHO histological types.

METHODS

In this single-center observational retrospective study, authors reviewed data of 75 meningioma patients confirmed by the WHO histological grades (WHO I/II/III) which were underwent CT scans from January 1, 2005 to December 30, 2019 at a teaching hospital, in XXXX. Data collected using patients medical records. Data were analyzed by SPSS 20 and P less than 0.05 was assumed as significant.

RESULT

Our study confirmed that only edema (P = 0.005) and heterogeneity (P = 0.014) had a significant association with malignant histological types. Other signs were not statistically different among WHO histology types (p > 0.05). On the subject of tumor location, atypical/malignant meningioma was significantly more common in parasagittal (P = 0.031) and front-parietal (P = 0.035) regions.

DISCUSSION

meningiomas with Edema, heterogeneity on CT, and tumors located in parasagittal and frontoparietal regions are related to malignant histology and should be evaluated and treated more precisely.

摘要

引言

脑膜瘤是最常见的颅内肿瘤。CT扫描是一种常用的诊断方法。世界卫生组织(WHO)将脑膜瘤分为3种组织学分级。本研究旨在评估CT上不同脑膜瘤征象与肿瘤分布之间的关系,以及WHO组织学类型。

方法

在这项单中心观察性回顾性研究中,作者回顾了2005年1月1日至2019年12月30日期间在XXXX一家教学医院接受CT扫描的75例经WHO组织学分级(WHO I/II/III)确诊的脑膜瘤患者的数据。数据通过患者病历收集。数据采用SPSS 20进行分析,P值小于0.05被认为具有统计学意义。

结果

我们的研究证实,只有水肿(P = 0.005)和不均匀性(P = 0.014)与恶性组织学类型有显著相关性。其他征象在WHO组织学类型之间无统计学差异(p > 0.05)。在肿瘤位置方面,非典型/恶性脑膜瘤在矢状窦旁(P = 0.031)和额顶叶(P = 0.035)区域明显更常见。

讨论

CT上有水肿、不均匀性,以及位于矢状窦旁和额顶叶区域的脑膜瘤与恶性组织学有关,应更精确地进行评估和治疗。

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