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颅内囊性孤立性纤维瘤:一例报告

Cystic intracranial solitary fibrous tumor: a case report.

作者信息

Li Yongzhe, Li Dongxue, Yang Li, Zhang Jiaren, Gu Xiaoyu, Song Linfeng, Tian Binlin, Li Tingchao, Jiang Lin

机构信息

Department of Radiology, The Third Affiliated Hospital of Zunyi Medical University (The First People's Hospital of Zunyi), Zunyi, China.

Department of Pathology, The Third Affiliated Hospital of Zunyi Medical University (The First People's Hospital of Zunyi), Zunyi, China.

出版信息

Front Oncol. 2024 Jul 2;14:1422779. doi: 10.3389/fonc.2024.1422779. eCollection 2024.

Abstract

Solitary fibrous tumor (SFT) is a rare spindle cell tumor originating from mesenchymal tissue, and even rarer when it occurs intracranially. This case report described a 42-year-old man who presented with headache and limb weakness for more than 10 days. Magnetic resonance imaging (MRI) showed a well-defined multicompartmental cystic space-occupying lesion in the left occipital region, with surrounding edema and a compressed left lateral ventricle, the mass growing across the cerebellar vermis, which was initially diagnosed as hemangioblastoma. Neurosurgery was utilized to successfully remove the mass, and intracranial solitary fibrous tumor (ISFT) was identified by postoperative pathological analysis. Here, this article describes the imaging manifestations and pathologic features of a case of cystic intracranial solitary fibrous tumor, aiming to improve the understanding and diagnosis of this disease in order to provide an accurate therapy plan.

摘要

孤立性纤维瘤(SFT)是一种罕见的起源于间叶组织的梭形细胞肿瘤,而发生于颅内时更为罕见。本病例报告描述了一名42岁男性,其出现头痛和肢体无力超过10天。磁共振成像(MRI)显示左枕叶区域有一个边界清晰的多房囊性占位性病变,伴有周围水肿和左侧脑室受压,肿块跨越小脑蚓部生长,最初被诊断为血管母细胞瘤。通过神经外科手术成功切除了肿块,术后病理分析确诊为颅内孤立性纤维瘤(ISFT)。在此,本文描述了一例囊性颅内孤立性纤维瘤的影像学表现和病理特征,旨在提高对该疾病的认识和诊断,以便提供准确的治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4173/11250046/cdc95e18b0f1/fonc-14-1422779-g001.jpg

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