埃塞俄比亚亚的斯亚贝巴脊柱肿瘤放射学、术中及组织病理学检查结果初步回顾

Preliminary Review of Spine Tumor Radiologic, Intra-Operative and Histopathology Findings, Addis Ababa, Ethiopia.

机构信息

Wolaita Sodo University, Ethiopia.

Department of Radiology, College of Health Sciences Addis Ababa University, Ethiopia.

出版信息

Ethiop J Health Sci. 2022 Oct;32(Spec Iss 1):41-46. doi: 10.4314/ejhs.v32i1.7S.

DOI:10.4314/ejhs.v32i1.7S

PMID:36339955

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9624094/

Abstract

BACKGROUND

Spinal tumors constitute 10-32% of all primary central nervous system tumors. Accurate radiologic and histopathology diagnosis is crucial in the management and prognosis. The aim of the study was to describe the imaging patterns and to determine the agreement of imaging pattern of spinal tumors with intra-operative and histopathology findings.

METHODS

A retrospective cross-sectional study of 47 patients with spinal tumor done from May 2018 to October 2020. Medical records were reviewed for clinical data, history, physical examination, magnetic resonance imaging (MRI), intraoperative findings and histopathology reports. The agreement between imaging, intraoperative finding and histopathology diagnosis was analyzed.

RESULTS

Intradural extramedullary tumors constituted 37 (78%) cases followed by six (12.8 %) extradural tumors and four (9.2%) intramedullary tumors. Schwannoma accounted for 13 (27.7%) cases followed by meningioma, 12 (25.5%) cases. Twenty-seven (57.4%) cases were thoracic level and cervical level were nine (19.1%) cases. Twelve (25.5%) cases did not have a definite intraoperative diagnosis. Imaging and intraoperative diagnosis was in agreement in 21 (44.6 %) cases and disagreed in 14 (29.7%) cases. For the imaging diagnosis and histopathology, 29 (61.7%) were in agreement and 18 (38.3 %) were in disagreement.

CONCLUSION

In conclusion, the commonest site to be involved was the thoracic spine and schwannoma was the commonest tumor. The low agreement between imaging and histopathology could have been improved by optimizing the imaging reports and techniques.

摘要

背景

脊柱肿瘤占所有原发性中枢神经系统肿瘤的 10-32%。准确的影像学和组织病理学诊断对治疗和预后至关重要。本研究旨在描述脊柱肿瘤的影像学表现，并确定影像学表现与术中及组织病理学发现的一致性。

方法

回顾性分析 2018 年 5 月至 2020 年 10 月间 47 例脊柱肿瘤患者的资料。回顾分析患者的临床资料、病史、体格检查、磁共振成像（MRI）、术中所见和组织病理学报告。分析影像学、术中所见和组织病理学诊断之间的一致性。

结果

硬脊膜外髓外肿瘤 37 例（78%），硬脊膜外肿瘤 6 例（12.8%），髓内肿瘤 4 例（9.2%）。神经鞘瘤 13 例（27.7%），脑膜瘤 12 例（25.5%）。27 例（57.4%）位于胸段，颈椎段 9 例（19.1%）。12 例（25.5%）术中无明确诊断。影像学与术中诊断一致 21 例（44.6%），不一致 14 例（29.7%）。影像学诊断与组织病理学诊断一致 29 例（61.7%），不一致 18 例（38.3%）。