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垂体柄血管母细胞瘤一例并文献复习

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摘要 患者男,65岁。反复头晕20d来院,无尿崩,神经系统检查无异常。内分泌检查正常,血清AFP、HCG正常。CT平扫示:鞍上池结节(图la)。MRI检查示:鞍上池内见一椭圆形异常信号占位影,T1W1呈等信号(图1b),T2W1呈高信号(图1e),大小为1.14cm×1.11cm×1.08cm,增强扫描后明显强化(图ld,e),垂体柄与其分界欠清楚。DSA:R—ICA造影时,在毛细血管期,鞍上有一明显染色病变,由大脑前动脉分支供血(图1f)。腹部B超提示:肝脏、胰腺、脾脏、双肾及后腹膜未见明显异常。冠状开路终板入路切除肿瘤,术中见肿瘤实质性,位于视交叉后下方,颜色紫红,质地韧,血供丰富,与垂体柄粘连、附着。显微镜下分块全切肿瘤。
出处 《中华神经外科杂志》 CSCD 北大核心 2012年第11期1185-1187,共3页 Chinese Journal of Neurosurgery
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