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病例报告:头颅计算机断层扫描显示系统性恶性淋巴瘤的室管膜下和软脑膜播散

Case report: subependymal and leptomeningeal spread of systemic malignant lymphoma demonstrated by cranial computed tomography.

作者信息

Dubois P J, Martinez A J, Myerowitz R L, Rosenbaum A E

出版信息

J Comput Assist Tomogr. 1978 Apr;2(2):218-21. doi: 10.1097/00004728-197804000-00017.

DOI:10.1097/00004728-197804000-00017
PMID:359602
Abstract

Secondary involvement of the central nervous system by systemic malignant lymphoma is uncommon, although increasingly recognized. Histologically perivascular, leptomeningeal, and subependymal infiltration by tumor cells is characteristic. Less frequently, single or multiple macroscopic masses resembling other metastatic deposits are found. A patient is presented in whom periventricular and leptomeningeal involvement by systemic histiocytic lymphoma produced prominent symmetric surface oriented enhancement on computed tomography following intravenous infusion of contrast medium. Differential diagnosis is discussed.

摘要

系统性恶性淋巴瘤累及中枢神经系统较为少见,尽管其越来越被人们所认识。组织学上,肿瘤细胞围绕血管、软脑膜及室管膜下浸润是其特征。较少见的是,可发现单个或多个类似其他转移灶的肉眼可见肿块。本文报告1例系统性组织细胞淋巴瘤累及脑室周围和软脑膜,静脉注射造影剂后计算机断层扫描显示显著的对称性表面强化。并对鉴别诊断进行了讨论。

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Neuroradiology. 1993;35(7):516-7. doi: 10.1007/BF00588710.
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Neuroradiology. 1984;26(1):33-8. doi: 10.1007/BF00328201.
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West J Med. 1985 Jun;142(6):782-6.