最简单的鞍上肿瘤区分方法

健康   2024-04-11 19:14   上海  

最简单的儿童和成人常见鞍上肿瘤诊断思路,用最简单方法-“文本形式”,呈现给大家,大家可收藏或理解吸收:

儿童鞍上肿瘤

咽管瘤Craniopharyngioma

Calcified,enhancing,complex cystic mass?

钙化,强化,复杂囊性肿块?

Distinct from the pituitary?

与垂体分界清晰?


神经胶质瘤Optic pathway glioma

T2 hyperintense,enhancing mass?

T2WI高信号,强化肿块?

Secondary signs of neurofibromatosis1?

I型神经纤维瘤病的间接征象?


生殖细胞肿瘤Germ cell tumor

Avidly enhancing midline mass?(germinoma)

明显强化的中线肿块?(生殖细胞瘤)

Contains fat?(dermoid-much less common)

含有脂肪?(皮样囊肿-较少见)


下丘脑错构瘤Hypothalamic hamartoma

Nonenhancing,gray-matter isointense mass?

不强化,与灰质等信号的肿块?

Gelastic seizures?

痴笑样癫痫?

Precocious puberty?

性早熟?


朗格汉斯细胞组织细胞增多症垂体炎Langerhans cell histiocytosis hypophysitis

Enhancing,enlarged pituitary stalk?

强化、垂体柄扩大?

Diabetes insipidus?

尿崩症?


成人鞍上肿瘤
垂体大腺瘤延伸Pituitary macroadenoma extension

Pituitary mass extending superiorly?

垂体肿物向上生长?

Expansion of the sella?

蝶鞍扩大?


脑膜瘤Meningioma

Intense enhancement with a normal sella?

正常蝶鞍伴明显强化?

Enhancing dural tail?

强化的脑膜尾征?

Adjacent hyperostosis?

邻近骨质增生?

Narrows adjacent vasculature?

相邻血管狭窄?


颅咽管瘤Craniopharyngioma

Calcified,enhancing,complex cystic mass?

钙化,强化,复杂囊性肿块?

Distinct from the pituitary?

与垂体分界清楚?


Rathke's 裂囊肿Rathke's cleft cyst

Nonenhancing cystic mass without calcification?

无强化囊性肿块不伴钙化?


动脉瘤Aneurysml

Enhancement equal to blood pool?

强化程度与血管相等?

Calcified rim(if thrombosed)?

边缘钙化(若有血栓)?


淋巴细胞性围产期女性)或肉芽肿性垂体炎(Lymphocytic or granulomatous hypophysitisl

Enhancing,enlarged pituitary stalk?

强化,垂体柄扩大?

Diabetes insipidus?

尿崩症?

摘自《核心放射学;影像诊断与图解教程》


华影传声
医学影像科普知识,有温度的影像之家……
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