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Case #6

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患者信息: 62 岁, 女性
检查指征: Stroke symptoms

Case #6

影像所见

  • Large, heterogeneously enhancing mass with areas of central hypoenhancement involving the posterior left frontal lobe, superior left temporal lobe, and anterior left parietal lobe measuring 5 x 4.5 x 4.5 cm with surrounding white matter T2/FLAIR hyperintensity and multiple nearby satellite enhancing lesions
  • The medial margin of the mass abuts the ependymal surface of the atrium of the left lateral ventricle
  • Associated mass effect with local sulcal effacement, crowding of the left lateral ventricle, and left-to-right midline shift measuring 7 mm
  • Dilation of the temporal horn of the left lateral ventricle, concerning for entrapment

诊断

Glioblastoma, IDH-wild-type

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讨论

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要点

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参考文献

  • Larsen J, Wharton SB, McKevitt F, Romanowski C, Bridgewater, C, Zaki H, Hoggard N. ‘Low grade glioma’: an update for radiologists. Br J Radiol 2017; 90: 20160600.
  • Louis DN, Perry A, Wesseling P, et al. The 2021 WHO classification of tumors of the central nervous system: a summary. Neuro-Oncology 2021; 23(8): 1231-1251.

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