儿童视网膜母细胞瘤伴脑脊液种植转移的MRI表现(附6例分析).pdfVIP

796 放射学实践 2012 竿 7 月第 27 卷第 7 期 Radiol Practice ,}ul 2012 ,Vol 27 ,No. 7 ·小儿影像学· 儿童视网膜母细胞瘤伴脑脊液种植转移的 MRI 表现(附 6 例分 析) 程春，杨友林，梁晓航，李小丘 E摘要】 目的:探讨儿童视网膜母细胞瘤(RB) 伴脊髓脑存液种植转移的 MRI 表现及其诊断价值。方法:琦 6 例经手 术病理证实的儿童 RB 的 CT 及 MRI 资料进行回顾性分析。结果:6 例中 1 例为双侧，51列为单侧。 6 例均行 MRI 检查~ 现软脊膜转移，其中 2 1foJ 合并脊髓受侵，表现为软脊膜呈亦没性、不均匀结节状增碍，马尾、终丝明显增辱、聚集，肿块填充 椎管。讨论:RB 的 MRI 表现具有-定特征性. MRI 可清楚显示脊髓脑存液种植转移的范围、信号特征Jl与脊髓的关单， 对 RB 的分期、治疗和预后具有重要意义。 E关键词】 儿童g 磁共振成像;视网膜母细胞瘤z 肿瘤转移g 脊髓g 脑脊液 E 中国分类号) R445. 2; R73 1. 9 (文献标识码) A (文章编号】 1000-0313(2012)07-0796-03 MRI manif，四tations of children retinoblastoma accompanied with spinal pia mater implantation melast描is CHENG Chun. YANG You-lin. L1ANG Xiao-hang.et al. Department of CT . MRI ,Attached hospital of the Institute of Air Force Aviation Medicine of PLA. Beijing l00089.P. R. China (A恼tract) Obj配tive: To discuss the MRI findings and the value of MRI in the diagnosis of children retinoblastoma (R B) accompanied with spinal pia mater implantation metastasis. Meth叫5: The MRI mat盯ials of 6 cases with pathology proven RB were retrosp配tively analyzed. R四ults:Of the 6 cases.there were bilaterallesions (n二 1) and the rest were uni- latera!. A 1l 6 cases showed implantation metastases of spinal pia mater on MRI ,2 of them had spinal cord invasion.showing diffuse ,uneven nodular thickening of the pia mater ,obvious thickening of cauda equina and filum terminale , and the spinal canal was filled by tumor. Conclusion: There were certain MRI characteristic findings of RB. The extent , signal intensity characteristics of implantation metastasis and their relationship with spinal cord could be clearly displayed on