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原发性中枢神经系统淋巴瘤的MRI 诊断[J]. 肿瘤防治研究, 2005, 32(12): 775-776. DOI: 10.3971/j.issn.1000-8578.563
引用本文: 原发性中枢神经系统淋巴瘤的MRI 诊断[J]. 肿瘤防治研究, 2005, 32(12): 775-776. DOI: 10.3971/j.issn.1000-8578.563
Evaluation of MRI in Diagnosis of Primary Central Nervous System Lymphoma[J]. Cancer Research on Prevention and Treatment, 2005, 32(12): 775-776. DOI: 10.3971/j.issn.1000-8578.563
Citation: Evaluation of MRI in Diagnosis of Primary Central Nervous System Lymphoma[J]. Cancer Research on Prevention and Treatment, 2005, 32(12): 775-776. DOI: 10.3971/j.issn.1000-8578.563

原发性中枢神经系统淋巴瘤的MRI 诊断

Evaluation of MRI in Diagnosis of Primary Central Nervous System Lymphoma

  • 摘要: 目的 评价MRI在诊断原发性中枢神经系统淋巴瘤中的作用。方法 回顾性分析7例经病理证实的原发性中枢神经系统淋巴瘤的MRI表现。结果 本组病例均为B细胞型非霍奇金淋巴瘤,其中单发5例,多发2例。MRI表现为均匀的长T1、长T2信号,病灶内无明显坏死囊变灶,瘤周水肿相对较轻,占位效应轻,中线结构移位不明显,增强后病灶呈明显均匀性强化。结论 原发性中枢神经系统淋巴瘤无典型的MRI表现,发病部位相对较深,肿瘤大小与占位效应不成比例,增强时病灶实质均匀性强化且无坏死囊变,最后确诊有赖于病理的免疫组化检查。

     

    Abstract: Objective  To evaluate MRI in diagnosis and differentiation of primary cent ral nervous system (CNS) lymphoma. Methods  MRI features in 7 patients with pathologically proved primary CNS lymphoma were ret rospectively analyzed. Results  Allcases were pathologically non-Hodgkin' s B cell type.The lesions were solitary in 5 cases and multiple in 2 cases. On MRI, the lesions were long T1and long T2 signal, and the tumors showed markedly enhanced without cystic degeneration and ring-like enhancement after contrast injection, and there were mild to moderate peritumoral edema and space occupying effect . Conclusion  Locations of primary CNS lymphoma vary in brain, adn there are no characteristic MR findings in them. But the lesion displays solid homogeneous enhancement af ter cont rast injection.The final diagnosis depends on immunohistochemistry.

     

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