Enzmann D R, Kramer R, Norman D, Pollock J
Radiology. 1978 Apr;127(1):177-80. doi: 10.1148/127.1.177.
The CT appearance of metastatic malignant melanoma is varied, but it can show features suggesting the correct diagnosis. Intracerebral hemorrhage alone, associated with an adjacent tumor nodule or mixed diffusely with a tumor, occurred in 10 of 33 patients. Identification of a tumor nodule is important, since it may be the site of recurrent hemorrhage if not removed completely at surgery. Unusual presentations such as meningeal carcinomatosis and lesions simulating primary gliomas also occurred.
转移性恶性黑色素瘤的CT表现多样，但可显示有助于正确诊断的特征。33例患者中有10例出现单纯脑内出血，伴有相邻肿瘤结节或与肿瘤弥漫性混合。识别肿瘤结节很重要，因为如果在手术中未完全切除，它可能是反复出血的部位。还出现了不寻常的表现，如脑膜癌病和类似原发性胶质瘤的病变。
