ISSN 1004-4140
CN 11-3017/P
蔡汉寿, 肖树恺, 张岳, 张军. 不典型少突胶质细胞肿瘤的影像表现[J]. CT理论与应用研究, 2016, 25(2): 203-210. DOI: 10.15953/j.1004-4140.2016.25.02.11
引用本文: 蔡汉寿, 肖树恺, 张岳, 张军. 不典型少突胶质细胞肿瘤的影像表现[J]. CT理论与应用研究, 2016, 25(2): 203-210. DOI: 10.15953/j.1004-4140.2016.25.02.11
CAI Han-shou, XIAO Shu-kai, ZHANG Yue, ZHANG Jun. Imaging Features of Atypical Oligodendroglial Tumor[J]. CT Theory and Applications, 2016, 25(2): 203-210. DOI: 10.15953/j.1004-4140.2016.25.02.11
Citation: CAI Han-shou, XIAO Shu-kai, ZHANG Yue, ZHANG Jun. Imaging Features of Atypical Oligodendroglial Tumor[J]. CT Theory and Applications, 2016, 25(2): 203-210. DOI: 10.15953/j.1004-4140.2016.25.02.11

不典型少突胶质细胞肿瘤的影像表现

Imaging Features of Atypical Oligodendroglial Tumor

  • 摘要: 目的:探讨不典型少突胶质细胞肿瘤(OG)的影像表现,提高诊断水平。方法:回顾分析12例经病理证实不典型OG的临床CT和MRI资料,探讨其影像特征。结果:年龄范围:23~60岁,平均41.5岁,其中40岁以上10例(83.3%)。7例表浅,5例深在,仅1例多发,共13个病灶。9例呈实性,MRI平扫呈稍长T1稍长T2信号,边缘欠清,其中1例信号均匀,增强后未见强化,8例信号不均,内见坏死、出血,增强后,7例呈斑片状轻-中度强化,1例呈"花环状"强化,且DWI明显弥散受限。3例呈完全囊性,囊液呈长T1长T2信号,壁较厚,呈等T1稍长T2信号,边缘不清,增强后均未见强化,1例DWI序列囊壁不均匀弥散受限。3例CT片上可见钙化,2例瘤周见大片水肿,2例跨中线,1例向深部浸润、侵犯邻近基底节区及丘脑。结论:不典型OG包括:中老年人、多发、位置深在、瘤周大片水肿、跨中线生长、弥漫深部浸润、增强后环形强化、DWI明显弥散受限、完全囊性,其影像表现仍具有一定特征,综合分析可提高诊断准确率。

     

    Abstract: Objective: To explore the Imaging features of atypical oligodendroglial tumors(OG) in order to improve the diagnostic abilities. Method: The CT, MRI findings of 12 patients pathologically confirmed OG was retrospectively studied. Results: 13 lesions were found in 12 cases(7 lesions were situated in deeply and 5 were superficial), ranged in age from 23 to 60 years. 10 patients are older than 40 years(83.3%). 9 cases showed solid masses with a ill-defined border, manifested as slight low signal on T1 WI and high singal on T2 WI. Among them, the leision was uniformity signal in 1 case, and heterogeneous signal in 8 cases accompany hemorrhage or necrosis. After contrast scanning, th leision had a patched mild to moderate in 7 cases, a ring-shaped enhancement in 1 case, which solid part showed high singal on DWI, and no enhancement in 1 case, respectively. 3 cases manifested as cystic leision, with thick walls and unclear boundaries. The cyst fluid showed long T1 and long T2 signal intensity. The cyst wall showed isointense signal on T1 WI and slight hyperintense on T2 WI, one of which showed high signal on DWI. All of the leision had no enhancement after contrast administration. Calcification was seen on CT in 3 cases. Serious peritumoral edema was seen in 2 cases. 2 lesions crossed the mildline and 1 lesion infiltrated the adjacent basal ganglion and thalamus. Conclusion: Atypical MRI manifestation of OG included occuring in middle-aged and old people, multiple lesion, deep site, serious peritumoral edema, crossing the mildline, infiltrated into deep tissue, circular enhancement, restricted diffusion on DWI, cystic mass. It still has relative features on imaging, and comprehensive analysis can elevate the accuracy of diagnosis.

     

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