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小脑成血管细胞瘤的CT表现(作者译)

[CT findings in cerebellar hemangioblastomas (author's transl)].

作者信息

Heiss E, Albert F

出版信息

Rofo. 1982 Feb;136(2):151-6. doi: 10.1055/s-2008-1056017.

Abstract

The computed tomographic (CT) findings in 16 personal cases of cerebellar hemangioblastomas are presented. According to other reports in the literature, three-quarters of the tumours were cystic, containing a small mural nodule, whereas the others were predominantly solid. By CT scan the cystic tumours were always identified as roundish or oval space-occupying lesions, sharply demarcated from the surrounding tissue. The solid portion of these tumours, projecting into the cystic part, was delineated more precisely by contrast enhancement, but sometimes escaped identification. On the contrary, even after contrast enhancement the predominantly solid tumours could not be clearly identified as hemangioblastomas. Calcification could not be demonstrated. Additional angiographic investigations were imperative in order to establish the diagnosis, besides visualizing further hypervascular nodules of hemangioblastoma, which CT scanning failed to reveal.

摘要

本文呈现了16例小脑成血管细胞瘤患者的计算机断层扫描(CT)结果。根据文献中的其他报道,四分之三的肿瘤为囊性,包含一个小的壁结节,而其他肿瘤则以实性为主。通过CT扫描,囊性肿瘤总是被识别为圆形或椭圆形占位性病变,与周围组织界限清晰。这些肿瘤的实性部分突入囊性部分,通过对比增强可以更精确地勾勒出来,但有时难以识别。相反,即使经过对比增强,以实性为主的肿瘤也不能明确诊断为成血管细胞瘤。未发现钙化。除了可视化CT扫描未能显示的成血管细胞瘤的其他高血管结节外,为了明确诊断,还必须进行额外的血管造影检查。

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