硬膜浆细胞瘤的mr诊断.pptVIP

MRdiagnosisofDuralPlasmacytomas 硬脑膜浆细胞瘤 MR 诊断 ? Dural plasmacytomas are uncommon extramedullary plasma cell tumors that should be considered in patients with a dural mass and history of plasma cell dyscrasia. 硬脑膜浆细胞瘤是一种不 常见的髓外浆细胞肿瘤，当病人有浆细胞 性恶液质病史，出现硬膜肿块时需要考虑 到本病的可能。 Overview ? Only see a small number of reported literature 国内外文献仅见少数报道 ? And proposed the following diagnostic criteria 并提出如下诊断标准 ① no other bone involvement in x-ray X 线无其它骨受 累 ② Must be confirmed histologically 必须 有组织学证实 ③ Bone marrow biopsy negative 骨髓穿刺阴性 ④ Not Proteinuria, hyperlipidemia 无高蛋白血症和本周蛋白尿 74-year-old female with history of headache. 74 岁女性，头痛。 Case isointense signal on TI relatively 在 T1 序列上 呈相对的等信号 isointense signal on T2 relatively 在 T2 序列上 增强 T1WI 横轴位 The lesion demonstrates 增强 T1WI 冠状位 The lesion demonstrates homogeneous contrast enhacement in Coronal There is an extra-axial, dural based mass predominantly in the high left posterior parietal region which is relatively isointense signal on TI and T2 sequences. 图示左侧后顶部的以脑 膜为基底的脑外肿块，在 T1 和 T2 序列上呈相对 的等信号。 1 2 The lesion demonstrates homogeneous contrast enhacement on post contrast sequences, (yellow arrow in Figure 3). Extension along the interhemispheric fissure (yellow arrow in Figure 4), encasement of the superior sagittal sinus (red arrow inFigure 4) and extension across midline to the right (blue arrow in Figure 4) is demonstrated. 病变显示明显的强化（图 3 、黄箭），病变沿大脑 纵裂扩展（图 4 、黄箭），包埋上矢状窦（图 4 、红箭）和沿中线扩 展至右侧（图 4 、蓝箭） 3 4 ? Differentiation between the solitary form and plasmacytoma in association with multiple myeloma has important treatment implications. 区别是孤立性浆细胞瘤还是多 发性骨髓瘤相关的浆细胞瘤对于治疗有重 要的意义。 emphasis ? Imaging characteristics of dural plasmacytomas may closely resemble those of meningiomas. 硬膜浆细胞瘤的影 像特征与脑膜瘤非常相似。 ? Plasmacytomas of the dural are uncommon plasma cell tumors that may occur as a solitary neoplasm more commonly, in association with multip