ISSN 1004-4140
CN 11-3017/P
闫昕, 赵建华. CT与MRI诊断颅内孤立性纤维瘤临床案例分析[J]. CT理论与应用研究, 2023, 32(0): 1-6. DOI: 10.15953/j.ctta.2023.126.
引用本文: 闫昕, 赵建华. CT与MRI诊断颅内孤立性纤维瘤临床案例分析[J]. CT理论与应用研究, 2023, 32(0): 1-6. DOI: 10.15953/j.ctta.2023.126.
YAN X, ZHAO J H. CT and MRI Diagnosis of Intracranial Solitary Fibrous Tumor: A Clinical Case Analysis[J]. CT Theory and Applications, 2023, 32(0): 1-6. DOI: 10.15953/j.ctta.2023.126. (in Chinese).
Citation: YAN X, ZHAO J H. CT and MRI Diagnosis of Intracranial Solitary Fibrous Tumor: A Clinical Case Analysis[J]. CT Theory and Applications, 2023, 32(0): 1-6. DOI: 10.15953/j.ctta.2023.126. (in Chinese).

CT与MRI诊断颅内孤立性纤维瘤临床案例分析

CT and MRI Diagnosis of Intracranial Solitary Fibrous Tumor: A Clinical Case Analysis

  • 摘要: 颅内孤立性纤维瘤(ISFT)是一种间叶组织来源的梭形细胞肿瘤,临床表现依据病程和肿瘤发生部位不同表现各异,发病罕见,影像及临床医生对其缺乏全面认识,术前误诊率高。本文报告1例颅内孤立性纤维瘤病例,52岁男性,临床表现为头痛及双下肢无力;CT及MRI影像学检查诊断为左侧听神经瘤。后经术后病理组织活检确诊为ISFT。患者术后1年半复查,左侧面神经麻痹,左侧面部憋胀,余无明显不适。本文回顾性分析该患者的影像学表现及临床资料,旨在总结出此种罕见病的CT及MRI影像表现,以提高医生的术前诊断准确率,为临床精准治疗提供重要的帮助。

     

    Abstract: Intracranial solitary fibroma (ISFT) is a kind of mesenchymal tissue-derived spindle cell tumor. Patients’ disease progression vary according to the course and location of the tumor. Due to its rarity, radiologists and clinicians lack a comprehensive understanding of ISFT. Hence, the preoperative misdiagnosis rate is high. This case report describes a 52-year-old male patient with intracranial solitary fibroma who presented with headache and weakness of both lower extremities. He underwent radiological examination, including CT and MRI, and was diagnosed with acoustic neuroma. After postoperative pathological tissue biopsy, he was diagnosed with ISFT. He was reviewed one and a half years after surgery; there was no significant discomfort in addition to the paralysis of the left facial nerve and swelling of the left side of the face. This case report retrospectively analyzes the radiological scans and the clinical data of the patient to summarize the key CT and MRI features of ISFT, improving the accuracy of the preoperative diagnosis of this rare disease, and contributing to current knowledge of the precise treatment of ISFT.

     

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