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转移瘤

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CONCLUSION摘要: DWI and ADC value are helpful to differentiate capsule formation stage of abscess from cystic/necrotic tumor, but not helpful to distinguish evolution stage/cerebritis stage of abscess from cystic/necrotic tumor.

结论摘要:DWI及ADC值有助于鉴别包膜期脑脓肿和坏死囊变脑转移瘤,对吸收期脑脓肿和坏死囊变脑转移瘤的鉴别诊断无明显意义。

METHODS摘要: Fourteen patients proved pathologically as brain abscess and 17 cystic/necrotic metastatic tumor underwent conventional MRI and DWI examinations. DWI signal and ADC value were evaluated in cerebritis stage, capsule formation stage, and evolution stage of brain abscess and compared with those of cystic/necrotic metastatic tumor. Chisquared test and t test were performed for statistic analysis.

方法摘要:病理及临床证实脑脓肿14例,坏死囊变脑转移瘤17例,经常规磁共振检查及弥散加权检查,在脑脓肿脑炎期、包膜期及吸收期进行弥散信号及ADC值的测量,并和坏死囊变脑转移瘤相比较,统计学分析采用χ2检验和t检验。

METHODS: Fourteen patients proved pathologically as brain abscess and 17 cystic/necrotic metastatic tumor underwent conventional MRI and DWI examinations. DWI signal and ADC value were evaluated in cerebritis stage, capsule formation stage, and evolution stage of brain abscess and compared with those of cystic/necrotic metastatic tumor. Chisquared test and t test were performed for statistic analysis.

病理及临床证实脑脓肿14例,坏死囊变脑转移瘤17例,经常规磁共振检查及弥散加权检查,在脑脓肿脑炎期、包膜期及吸收期进行弥散信号及ADC值的测量,并与坏死囊变脑转移瘤相比较,统计学分析采用χ2检验和t检验。

METHODS: Fourteen patients proved pathologically as brain abscess and 17 cystic/necrotic metastatic tumor underwent conventional MRI and DWI examinations. DWI signal and ADC value were evaluated in cerebritis stage, capsule formation stage, and evolution stage of brain abscess and compared with those of cystic/necrotic metastatic tumor.

病理及临床证实脑脓肿14例,坏死囊变脑转移瘤17例,经常规磁共振检查及弥散加权检查,在脑脓肿脑炎期、包膜期及吸收期进行弥散信号及ADC值的测量,并与坏死囊变脑转移瘤相比较,统计学分析采用χ2检验和t检验。

A retrospective review was performed on 70 patients undergone GKS, to study the relationship of survival time with total tumor volume, organic tumor resection, metastasis resection and radiation therapy or chemical therapy.

回顾研究70例多发性脑转移瘤患者的生存时间与病灶总体积、原发病灶切除、脑转移瘤切除、配合化疗或放疗等因素的关系。

Gamma knife rediosurgery is a safe and effective method to adrenal gland metastases and a good palliation therapy.

肾上腺转移瘤对放射治疗敏感,伽马刀治疗肾上腺转移瘤是比较安全有效的姑息治疗,无严重并发症。

Methods:[WT5BZ]Thirty-seven cases with primary tumour in department of X-ray ,Haining second hospital January 1998 to June 2000,all patients with pathology (18 cases),cytology(3 cases)and computed tomography,magnetic resonance imaging,specific photology etc.(16 cases)proved lung metastatic tumor and to studied the X-ray basic change,primary tumuorign and patholog types etc.

收集海宁市第二人民医院放射科 98年 1月至 2 0 0 0年 6月拍摄胸片的 37例其原发癌瘤,经病理( 18)、细胞学( 3)或 CT、MRI、特殊造影检查( 16)等确诊的肺转移瘤资料,对其肺部转移性病灶的基本 X线表现、原发癌肿来源、病理类型等进行分析研究。

Of 23 adrenal tumors, 4 cases were adrenocotical adenoma, 10 cases were pheochromocytoma; adrenocortical carcinoma, metastatic carcinoma, ganglioneuroma and adrenal myelolipma were 2 cases respectively, schwannoma was only 1 case.

本组23例肾上腺肿瘤中,皮质腺瘤4例,嗜铬细胞瘤10例,肾上腺皮质癌、转移瘤、神经节细胞瘤、髓样脂肪瘤各2例,神经鞘瘤1例。

Results 5 cases of ependymocytoma, 3 cases of astrocytoma, 1 medulloblastoma hemangioblastoma in 10 cases of intra-medullary tumor; 36 cases of neurogenic tumor, 11 cases of spinal meningioma in 47 cases of subdural extramedullary tumor; 2 cases of neurogenic tumor strided over scleromeninx;2 cases of extradural metastatic tumor, 1 cestodiasis, 2 cases of epidural hematoma, which were mistaken for hemangioma before surgical operation and 1 vascular malformation in 4 cases of intraspinal nontumorous occupying lesion.

结果:10例髓内肿瘤中,室管膜瘤5例;星形细胞瘤3例;血管母细胞瘤1例;成神经管细胞瘤1例。47例脊髓外硬膜下肿瘤中,神经源性肿瘤36例;脊膜瘤11例。2例跨硬膜内外生长的神经源性肿瘤2例。硬膜外的转移瘤2例。4例椎管内非肿瘤性占位性病变中,椎管内绦虫病1例;硬膜外血肿2例,术前误为血管瘤;血管畸形1例。

Lateral tumors in adults often appear extraaxial and may simulate meningiomas of the cerebellopontine angle or tentorium, acoustic neuromas, ependymomas, glomus jugulare tumors or metastases, solid hemangioblastoma and choroid plexus papilloma.

位于外侧的肿瘤经常表现类似于轴位病变,与桥小脑角区或幕下脑膜瘤、听神经瘤、室管膜瘤、颈静脉球瘤或转移瘤、实性血管母、以及脉络膜乳头状瘤相类似。

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