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原发性额顶骨内上皮细胞型脑膜瘤CT和MRI表现

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目的 探讨原发性额顶骨内上皮细胞型脑膜瘤的CT和MRI表现.方法 回顾性分析经手术和病理证实的6例原发性额顶骨内脑膜瘤病人的CT和MRI表现,并结合病理学特征以及相关文献进行分析.结果 病理检查显示,6例肿瘤均为上皮细胞型脑膜瘤,为WHO Ⅰ型;病灶均单发,位于额顶骨内,呈膨胀性生长.CT平扫病灶呈高密度,密度均匀;MRI表现为等T1等T2信号为主,信号均匀,增强扫描病灶呈明显均匀性强化,其中5例病灶相邻脑膜受推压、增粗,强化明显,4例病灶见脑膜尾征.结论 良性额顶骨内脑膜瘤CT及MRI征象缺乏特异性,最终确诊须依靠病理学检查.
CT AND MRI FINDINGS OF PRIMARY 1NTRAOSSEOUS MENINGOTHELIAL MENINGIOMA OF FRONTO-PARIETAL BONE
Objective To investigate the computed tomography (CT) and magnetic resonance imaging (MRI) findings of primary intraosseous meningothelial meningioma of the fronto-parietal bone.Methods A retrospective analysis was performed on the CT and MRI findings of 6 patients with pathologically confirmed primary intraosseous meningioma of the fronto-parietal bone.And then a comprehensive analysis was performed on the tumors based on the imaging findings,pathological features,and related literature review.Results The pathological examination showed that the tumors of all the 6 cases were meningothelial meningioma WHO Ⅰ;all the lesions were solitary and located in the fronto-parietal bone showing expansive growth.Plain CT scan showed a high and homogeneous density;MRI showed isointensity on T1-weighted and T2-weighted images;contrast-enhanced CTscan showed homogeneous enhancement.The adjacent meninges were pushed,thickening,and obviously enhanced in 5 cases,and dural tail sign was observed in 4 cases.Conclusion Benign primary intraosseous meningothelial meningioma of the fronto-parietal bone shows no specific manifestations in CT and MRI findings,so the final diagnosis should be confirmed by histopathological and immunohistochemical examinations.

meningiomaskulltomography, X-ray computedmagnetic resonance imaging

邓文林、黎福明

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钦州市妇幼保健院放射科,广西钦州 535000

钦州市中医院放射科

脑膜瘤 颅骨 体层摄影术,X线计算机 磁共振成像

2017

齐鲁医学杂志
青岛大学医学院

齐鲁医学杂志

影响因子:0.609
ISSN:1008-0341
年,卷(期):2017.32(4)
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