影像学表现类似海绵状血管瘤的胶质母细胞瘤：一份独特的影像报告。
Glioblastoma imitating a cavernoma radiologically: A unique image report.
作者信息
Baqai Muhammad Waqas Saeed, Aziz Hafiza Fatima, Qazi Saba Saleem, Faisal Kunwer Sufyan, Shah Syed Muhammad Ismail
机构信息
Department of Neurosurgery, Aga Khan University Hospital, Karachi, Pakistan.
Department of Neurosurgery, Ziauddin Medical University, Karachi, Pakistan.
出版信息
Surg Neurol Int. 2023 Mar 31;14:112. doi: 10.25259/SNI_976_2022. eCollection 2023.
BACKGROUND
Glioblastoma is the most common primary malignant brain tumor with characteristic radiological features in most cases.
CASE DESCRIPTION
We highlight an unusual case of a 54-year-old woman, neurologically intact, with a diagnostically challenging lesion. The patient's magnetic resonance imaging revealed a left frontal lesion with surrounding edema and a hemosiderin ring, misleading it to be a cavernoma. Intraoperatively, the lesion was found to be a solid tumor with hematoma and was confirmed to be glioblastoma on histopathology.
CONCLUSION
The dilemma associated with our patient's radiological findings and longstanding history of epilepsy is rare and a diagnostic challenge.
背景
胶质母细胞瘤是最常见的原发性恶性脑肿瘤，多数情况下具有特征性的影像学表现。
病例描述
我们重点介绍一例不同寻常的病例，患者为一名54岁女性，神经系统功能正常，但存在一个诊断颇具挑战性的病变。患者的磁共振成像显示左额叶有一个伴有周围水肿和含铁血黄素环的病变，易被误诊为海绵状血管瘤。术中发现该病变为伴有血肿的实体肿瘤，组织病理学检查确诊为胶质母细胞瘤。
结论
与我们患者的影像学表现及长期癫痫病史相关的困境较为罕见，是一个诊断难题。
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