Kim Hyun Jae, Cha Yoon Jin, Choi Seung Ho, Kang Chang Joon, Yoo Jihwan, Ahn Sung Jun
J Korean Soc Radiol. 2024 Jul;85(4):785-788. doi: 10.3348/jksr.2023.0130. Epub 2024 Apr 29.
This study describes a unique case of single mucin-rich brain metastasis in a patient with breast cancer, mimicking the T2-fluid attenuation inversion recovery (FLAIR) mismatch sign and masquerading as an isocitrate dehydrogenase-mutant astrocytoma. This case highlights the importance of considering mucin-rich lesions in the differential diagnosis of intracranial tumors exhibiting T2-FLAIR mismatch. Clinicians must recognize the potential convergence in imaging characteristics between these metastases and gliomas to guarantee prompt and accurate patient care.
本研究描述了一例乳腺癌患者发生的罕见的单发性富含黏液的脑转移瘤病例，该病例表现出T2液体衰减反转恢复序列（FLAIR）不匹配征象，伪装成异柠檬酸脱氢酶突变型星形细胞瘤。该病例强调了在鉴别诊断表现出T2-FLAIR不匹配的颅内肿瘤时，考虑富含黏液病变的重要性。临床医生必须认识到这些转移瘤与胶质瘤在影像学特征上可能存在的相似之处，以确保为患者提供及时、准确的治疗。
