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Magnetic Resonance Imaging of Neuroblastoma, Ganglioneuroblastoma, and Ganglioneuroma

神經母細胞瘤,神經節神經母細胞瘤,及神經節細胞瘤之磁振造影

摘要


神經母細胞瘤,神經節神經母細胞瘤,及神經節細胞瘤為神經瘠細胞在不同分化程度下之腫瘤。作者們回顧臺大醫院從1990年9月至1992年12月間15位經病理證實為以上三種腫瘤之病人所作18次磁振造影,發現神經母細胞瘤及神經節神經母細胞瘤呈現不清淅之週邊,以及混雜之信號強度。而神經節細胞瘤則呈現清晰之週邊,以及均勻之信號強度。對於腫瘤之範圍,對鄰近器官之侵襲,經及對血管之包圍,磁經節神經母細胞瘤,以及經節細胞瘤之診斷,磁振造影是一可靠之方法。

並列摘要


Eighteen magnetic resonance (MR) examinations were performed in 15 children with neuroblastoma in 6 patients, ganglioneuroblastoma in 4 and ganglioneuroma in 5. The MR images of neuroblastoma and ganglioneuroblastoma presented with ill-defined margins and heterogeneous signal intensity, while ganglioneuroma had well-demarcated outlines and more homogeneous signal intensity in all sequences. The extension of these tumors, invasion to adjacent organs and encasement of vessels could be clearly identified. MR imaging appears to be a reliable technique for differential diagnosis among neuroblastoma/gang-lioneuroblastoma and ganglioneuroma.

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