Ventricular Tumors – CT Evaluations of 28 Cases

腦室腫瘤－電腦斷層掃瞄之評估

周敏雄(Min-Shon Chou) ； 蔡宗佳(Tsung-Chia Tsai) ； 楊志華(Chee-Wah Yang) ； 劉金昌(Gin-Chung Liu) ； 洪純隆(Shen-Long Howng)

《The Kaohsiung Journal of Medical Sciences》 9卷3期 (1993/03) Pp. 143-152

https://doi.org/10.6452/KJMS.199303.0143

摘要

在顱內腫瘤中，腦室腫瘤可單獨被視為一類，蓋因其生物行為、治療、開刀有諸多相類似之處。在我們的系列中，最常見者依次為轉移腫瘤、星狀神經膠細胞瘤、室管膜瘤，腦膜瘤、脈絡叢乳頭瘤、寡突神經膠細胞瘤；單純腦室內腫瘤包括轉移、腦膜瘤、脈絡叢乳頭瘤；而副腦室腫瘤可包括白血病或淋巴瘤及原發性腦瘤經由腦脊髓液擴散，所造成或原發於毗鄰腦室內膜組織之腫瘤，包括星狀神經膠細胞瘤、室管膜瘤、寡突神經膠細胞瘤。大多數單純腦室內腫瘤皆以顱內壓上升有關之症候為其最初臨床表徵，而副腦室腫瘤大多以局部症狀為其最初表徵。具對比劑顯影之電腦斷層掃瞄之評估，除了對後腦窩之腫瘤外，仍不失為一理想之影像模式。

並列摘要

Ventricular neoplasms can be grouped together as a single disease entity because of the behavior of some of the tumors and similarities between the access of therapy and procedure of operation. In our series, the incidence of various ventricular neoplasms (shown in decreasing order) were metastasis, astrocytoma, ependymoma, meningioma, choroids plexus papillomas and oligodendroglioma. The intraventricular tumors included some metastasis involved by hematogenous spread, meningioms, and choroid plexus papilloma while paraventicular tumors included some of the systemic myeloproliferative disorders with ventricular seeding along with tumors with glial origins. Most of the patients with symptoms of intraventricular tumors also had symptoms related to increased intracranial pressure while those with paraventriular neoplasm presented symptoms related to focal signs or symptoms. CT scan with enhancement could provide a very good image modality except in some involvements in the posterior cranial fossa.

並列關鍵字

computed tomography (CT) ； magnetic resonance image (MRI) ； ventricular tumor