局解手术学杂志Issue(2)：118-120,3.DOI:10.11659/jjssx.1672-5042.201402003
MRI诊断中枢神经细胞瘤9例分析
Diagnosis of central neurocytoma by MRI:a report of 9 cases
赵琳 1张军 2张琰君 2聂书伟 2唐宗椿3
作者信息
- 1. 中铁一局西安中心医院放射科，陕西 西安710054
- 2. 陕西省第四人民医院放射科，陕西 西安710043
- 3. 解放军第三医院神经外科，陕西 宝鸡721004
- 折叠
摘要
Abstract
Objective To study the clinical significance of MR imagings features in the diagnosis on central neurocytoma ( CNC ) . Methods From January 2010 to December 2012,9 patients with CNC were analyzed and examined by MRI before surgery,then received postoperative pathology examination. Results CNC were in the left lateral ventricle of 9 patients, closely linked with the Monro hole, of which 4 cases were in the first 2/3 of central ventricle of the left lateral ventricle,3 cases in the septum pellucidum and growth to bilateral ventricles,2 cases of infiltrating in the septum pellucidum and base side adhesion. For CNC,MRI signal was not uniform,solid part T1WI showed equal or slightly low signal,multiple cysts and signal cord like structure with the ventricular wall and septum pellucidum adhesion. By contrast-enhanced CT scan,there were the solid part heterogeneous obvious enhancement in 4 cases,moderate and slight uneven enhancement in 3 cases and 2 cases respectively. Uniform size,round or oval cells were showed by HE staining,and the synaptophysin was positive in 6 ca-ses by immunohistochemical staining,positive expression of glial fibrillary acidic protein in 3 cases. After operation,3 patients were lost to fol-low up,for 6 cases were followed up,survival of 2 cases in 3 years,4 cases in 2 years. Conclusion The results suggest that MRI display is located near the lateral ventricle central Monro hole before and lesions suggestive of CNC in young patients. For most CNC,synaptophysin has positive expression by immunohistochemical staining.关键词
中枢神经细胞瘤/磁共振/病理学特征Key words
central neurocytoma/MRI/pathologycharacteristics分类
医药卫生引用本文复制引用
赵琳,张军,张琰君,聂书伟,唐宗椿..MRI诊断中枢神经细胞瘤9例分析[J].局解手术学杂志,2014,(2):118-120,3.
