中枢神经细胞瘤影像学特点及病理分析(附10例报告)
DOI:
作者:
作者单位:

作者简介:

袁贤瑞,男,湘雅医院神经外科教授、博士生导师,研究方向:颅底肿瘤、脑血管病的临床研究.

通信作者:

基金项目:


Central neurocytoma: radiological features and pathological analysis of 10 cases
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 音频文件
  • |
  • 视频文件
    摘要:

    目的:提高对中枢神经细胞瘤(CNC)的影像、病理及免疫组化特征的认识.方法:回顾性分析10例CNC的影像学特点,采用HE染色及Envision免疫组织化学染色观察其病理组织学特点和免疫表型特征.结果:肿瘤与透明隔关系密切,钙化、囊变常见,MRI表现为蜂窝样混杂信号,斑片状、条状增强.组织学形态类似少突胶质细胞.免疫组化10例Syn(+),8例NSE(+),7例GFAP(+).结论:CNC主要发生在脑室前部或靠近室间孔区附近,其影像学有一定的特点,当此区发生肿瘤时要考虑CNC可能,需行免疫组化检查.肿瘤具有双向分化特征,免疫组化标记Syn、NSE阳性对诊断CNC起重要作用.

    Abstract:

    Objective: To improve the understanding of radiological,pathological and immunohistochemical features of central neurocytomas(CNC).Methods: A retrospective study of the radiological features of 10 central neurocytoma cases was performed.HE staining and Envision immunohistochemical staining were applied to study their histopathological features and characteristics of their immune phenotypes.Results: Tumors had a very close relationship with the septum pellucidum.Calcification and cystic changes were common.MRI showed beehive-like heterogenous signal intensity with patchy or strip enhancement.The morphology of central neurocytomas was quite similar to that of oligodendroglioma under light microscope.Immunohistochemical analysis of 10 cases showed Syn(+)in 10 cases,NSE(+) in 8 cases and GFAP(+)in 7 cases.Conclusions: Central neurocytomas are usually located in front of lateral ventricle or next to the interventricular foramen.They possess some typical features in MRI.After the diagnosis of central neurocytoma is considered neuroradiologically,immunohistochemistry should be performed.The neoplasm is potentially bi-directional and differentiated.The positive findings of markers Synaptophysin(Syn) and Neuronal Specific Enolase(NSE) in immunohistochemical study are essential in the diagnosis of central neurocytoma.

    参考文献
    相似文献
    引证文献
引用本文

雷厉, 袁贤瑞456.中枢神经细胞瘤影像学特点及病理分析(附10例报告)[J].国际神经病学神经外科学杂志,2011,38(2):114-118111Lei Li, Yuan Xian-Rui, Peng Ze-Feng, Li Xue-Jun, Liu Qing, Yuan Jian, Deng Zheng-hao222. Central neurocytoma: radiological features and pathological analysis of 10 cases[J]. Journal of International Neurology and Neurosurgery,2011,38(2):114-118

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2011-01-05
  • 最后修改日期:2011-03-07
  • 录用日期:
  • 在线发布日期: 2011-04-28
关闭
关闭