胸段髓外硬膜下不典型黏液乳头型室管膜瘤一例

发布时间：2018-03-21 12:06

本文选题：室管膜瘤　切入点：乳头型　出处：《临床放射学杂志》2017年02期 　论文类型：期刊论文

【摘要】：正患者女,41岁。因间断性后背疼痛1年,双下肢无力4个月入院。既往无特殊病史,本次发病前无感染病史。专科查体阴性。实验室检查肿瘤相关生长因子74.0 U/mL。脊柱MRI示:胸3~8椎体层面髓外硬膜下可见一条形以长T_1、短T_2信号为主的混杂信号影,边界欠清,其内可见小灶状短T_1、长T_2信号影;病灶邻近脊髓受压明显,但未见明显受侵征象。增强扫描病灶明显不均匀性强化,病灶上、下方脊髓表面均可见带状强化影。手术及病理:肿瘤位于胸3~8椎体层面髓外硬脊膜下,肿瘤包膜完整,质软,色灰白,与邻近脊髓组织分界清楚,脊
[Abstract]:The female patient was 41 years old. She was admitted to hospital for 1 year due to intermittent back pain and 4 months of weakness in both lower extremities. There was no history of infection before the onset. The subject was negative. Laboratory examination of tumor-associated growth factor 74.0 U / mL.Spinal MRI showed that a long T 1, short T 2 signal could be seen under the epidural epidural of thoracic 38 vertebrae, and the boundary was not clear. The small focal short T _ (1) and long T _ 2 signals were observed in the lesions, the compression of the adjacent spinal cord was obvious, but no obvious signs of invasion were observed. Surgical and pathological findings: the tumor is located under the epidural spinal cord of the thoracic vertebrae. The capsule of the tumor is intact, soft, gray and white, and the spinal cord is clearly separated from the adjacent spinal cord.
【作者单位】：兰州军区兰州总医院影像诊断中心;
【分类号】：R739.42;R445.2

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