赵兰 卢德宏 徐庆中 刘东戈 赵兰 卢德宏 徐庆中 北京，首都医科大学宣武医院病理科 100053；刘东戈 北京医院病理科 中华神经科杂志 1999 0 32 6


    关键词：脑肿瘤；癌；腺样囊性；活组织检查；；立体定向技术 期刊 zhsjkzz 0 论著摘要 fur -->


    

【摘要 】 目的 通过对4例脑囊性转移癌病变的检查，探讨该囊肿的形成机制及CT导向立体定向穿刺的临床价值。方法 患者4例，男性3例，女性1例，年龄28～49岁。CT或MRI表现为脑内多发囊性病变；1例手术，3例CT立体定向穿刺活检，光镜下观察。结果 4例中3例诊为脑内小细胞未分化癌转移，1例为肺腺样囊性癌脑转移。结论 脑囊性病变可以是脑转移癌的一种表现形式；CT导向立体定向穿刺对其确诊有重要意义。

Clinical and pathological study of cystic lesions on radiography in metastatic carcinoma of brain

ZHAO Lan^* , LU Dehong, XU Qingzhong, et al.

    *Department of Pathology, Xuanwu Hospital, Capital University of Medical Sciences, Beijing 100053

【 Abstract 】 Objective Clinical and pathological study of cystic metastatic carcinomas in the brain. Methods There were 3 males and one female. The age were 28～ 49 years old. Multicystic lesions in brain were showed by CT and/or MRI.One case was operated upon and 3 cases were biopsied by stereotactic aspiration. All samples were observed on the light microscope. Result There were 3 cases were diagnosed as metastatic small cell carcinoma in the brain and one case was diagnosed as brain metastases from adenoid cystic carcinoma in the lung. Conclusion Cystic lesions in the brain may be one of pattern of metastatses of brain and CT stereotactic aspiration play a role in accurate diagnosis of this lesions.

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