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后纵隔巨大椎管相关性节细胞神经瘤1例

2018-03-16 佚名 医学影像学杂志

后纵隔神经瘤
关注

患者女，23岁。

【一般资料】

患者女，23岁。

【主诉】

1年前无明显原因反复阵发性咳嗽伴黄痰，无高热、盗汗。

【现病史】

2月前咳嗽、咳痰加重，痰中带血丝。心脏彩超示：先天性心脏病（房间隔缺损Ⅱ型）。

【辅助检查】

术前CT平扫可见后纵隔右侧脊柱旁及脊柱前软组织肿块影，呈梭形以胸9为中心上下径约19cm，最大横径约10cm×6cm。肿块向下延伸至腹膜后。肿块内可见少量斑点状钙化影，多个椎体及肋骨呈侵蚀性骨质破坏，且多个椎间孔扩大。CT三期增强扫描肿块呈轻度强化，延时期强化比动脉期及静脉期略明显（CT值平均增加约9HU）。MRI示肿块在T1WI呈等信号，T2WI和T2WI压脂序列呈不均匀稍高信号。肿块通过多个椎间孔侵入椎管内，局部脊髓受压移位。肿块推移下腔静脉向前移位。MR增强扫描肿块呈轻度不均匀斑片状强化。经胸腔穿刺病理活检：穿刺组织中见神经纤维增生，结构紊乱，血管丰富，部分区见神经节细胞。



【初步诊断】

后纵隔脊柱旁节细胞神经瘤。

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    2018-05-30 caobinglei8090

    #椎管#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1724234, encodeId=aa141e242344c, content=<a href='/topic/show?id=71c1628e901' target=_blank style='color:#2F92EE;'>#椎管#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62879, encryptionId=71c1628e901, topicName=椎管)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7d4e33593434, createdName=caobinglei8090, createdTime=Wed May 30 00:02:00 CST 2018, time=2018-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1837472, encodeId=f030183e4725b, content=<a href='/topic/show?id=3f34e253206' target=_blank style='color:#2F92EE;'>#相关性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72532, encryptionId=3f34e253206, topicName=相关性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a9de34, createdName=shenxlcyp, createdTime=Wed Jun 13 23:02:00 CST 2018, time=2018-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1981453, encodeId=f6f1198145322, content=<a href='/topic/show?id=9a3539100f7' target=_blank style='color:#2F92EE;'>#后纵隔#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39100, encryptionId=9a3539100f7, topicName=后纵隔)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6e43278, createdName=yangjxjc, createdTime=Sun Oct 28 21:02:00 CST 2018, time=2018-10-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2005280, encodeId=f74120052805f, content=<a href='/topic/show?id=4f16e4407b1' target=_blank style='color:#2F92EE;'>#神经瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74407, encryptionId=4f16e4407b1, topicName=神经瘤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6732482, createdName=w984445tii, createdTime=Fri Apr 20 15:02:00 CST 2018, time=2018-04-20, status=1, ipAttribution=)]
    2018-06-13 shenxlcyp

    #相关性#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1724234, encodeId=aa141e242344c, content=<a href='/topic/show?id=71c1628e901' target=_blank style='color:#2F92EE;'>#椎管#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62879, encryptionId=71c1628e901, topicName=椎管)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7d4e33593434, createdName=caobinglei8090, createdTime=Wed May 30 00:02:00 CST 2018, time=2018-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1837472, encodeId=f030183e4725b, content=<a href='/topic/show?id=3f34e253206' target=_blank style='color:#2F92EE;'>#相关性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72532, encryptionId=3f34e253206, topicName=相关性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a9de34, createdName=shenxlcyp, createdTime=Wed Jun 13 23:02:00 CST 2018, time=2018-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1981453, encodeId=f6f1198145322, content=<a href='/topic/show?id=9a3539100f7' target=_blank style='color:#2F92EE;'>#后纵隔#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39100, encryptionId=9a3539100f7, topicName=后纵隔)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6e43278, createdName=yangjxjc, createdTime=Sun Oct 28 21:02:00 CST 2018, time=2018-10-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2005280, encodeId=f74120052805f, content=<a href='/topic/show?id=4f16e4407b1' target=_blank style='color:#2F92EE;'>#神经瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74407, encryptionId=4f16e4407b1, topicName=神经瘤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6732482, createdName=w984445tii, createdTime=Fri Apr 20 15:02:00 CST 2018, time=2018-04-20, status=1, ipAttribution=)]
    2018-10-28 yangjxjc

    #后纵隔#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1724234, encodeId=aa141e242344c, content=<a href='/topic/show?id=71c1628e901' target=_blank style='color:#2F92EE;'>#椎管#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62879, encryptionId=71c1628e901, topicName=椎管)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7d4e33593434, createdName=caobinglei8090, createdTime=Wed May 30 00:02:00 CST 2018, time=2018-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1837472, encodeId=f030183e4725b, content=<a href='/topic/show?id=3f34e253206' target=_blank style='color:#2F92EE;'>#相关性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72532, encryptionId=3f34e253206, topicName=相关性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a9de34, createdName=shenxlcyp, createdTime=Wed Jun 13 23:02:00 CST 2018, time=2018-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1981453, encodeId=f6f1198145322, content=<a href='/topic/show?id=9a3539100f7' target=_blank style='color:#2F92EE;'>#后纵隔#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39100, encryptionId=9a3539100f7, topicName=后纵隔)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6e43278, createdName=yangjxjc, createdTime=Sun Oct 28 21:02:00 CST 2018, time=2018-10-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2005280, encodeId=f74120052805f, content=<a href='/topic/show?id=4f16e4407b1' target=_blank style='color:#2F92EE;'>#神经瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74407, encryptionId=4f16e4407b1, topicName=神经瘤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6732482, createdName=w984445tii, createdTime=Fri Apr 20 15:02:00 CST 2018, time=2018-04-20, status=1, ipAttribution=)]
    2018-04-20 w984445tii

    #神经瘤#

    0