脑多发胶质瘤影像与病理对照研究  

Comparative Study of Imaging and Pathology Findings in Multiple Brain Gliomas

作　　者：金晶 周义成[2] 

机构地区：[1]湖北省宜昌市中医医院放射科,湖北宜昌443003 [2]华中科技大学同济医学院附属同济医院放射科,湖北武汉430000

出　　处：《中国医学影像学杂志》2012年第2期84-87,共4页Chinese Journal of Medical Imaging

摘　　要：目的探讨脑多发胶质瘤的影像特点与其病理结果的关系,提高对本病的认识及诊断水平。资料与方法分析6例经手术病理证实的脑多发胶质瘤的MR及CT影像学资料、病理结果。结果 6例共计13个病灶,MR及CT影像表现为脑内各叶多发肿块样病灶,以额叶最多见,病灶间相互独立。5例影像增强共显示11个病灶,其中7个病灶呈中度至明显强化,病理结果为胶质瘤Ⅲ～Ⅳ级;4个病灶无明显强化,其中2个病灶病理结果为胶质瘤Ⅱ级。结论脑多发胶质瘤影像表现特征与其病理学类型及分级相关,可初步作出诊断并判断其恶性程度,对临床治疗提供更多帮助。Purpose To study the correlation between imaging and pathological findings of multiple brain gliomas,and improve their knowledge as well as diagnosis.Materials and Methods MR and CT imaging findings of 6 cases of multiple brain gliomas proved by pathology were retrospectively analyzed.Results Total of 13 lesions were found in six cases.MR and CT images showed multiple independent mass lesions in the brain,most common in the frontal lobe.Five cases with enhanced imaging showed total 11 lesions.Seven lesions with moderate to obvious enhancement were confirmed to be grade Ⅲ-Ⅳ glioma by pathology.Two of four lesions without obvious enhancement were proved to be grade Ⅱ glioma.Conclusion There is correlation between the imaging findings and pathological features of multiple brain gliomas.It is helpful to make preliminary diagnosis and to decide the malignant degree,which shows great value in clinical treatment.

关 键 词：神经胶质瘤 脑肿瘤 体层摄影术 X 线计算机 磁共振成像 病理学 外科 对照研究 

分 类 号：R739.41[医药卫生—肿瘤] R730.44[医药卫生—临床医学]