血管母細胞瘤之電腦斷層及腦血管檢查之診斷

Diagnosis of Hemangioblastoma in CT and Angiography

呂鎮中(C. C. Lui) ； 陳良(L. Chen) ； 衛優遊(Y. Y. Wai) ； 劉洋漢(Y. H. Liu) ； 蔡春泉(C. C. Tsai)

《中華放射線醫學雜誌》 8卷1期 (1983/03) Pp. 98-109

摘要

本院自1979年7月至1982年12月三年半間，共有六例經手術及病理檢查證實為血管母細胞瘤(Hemangioblastoma)的病例，約佔同期腦瘤的1.7% (6/350)。全是男性病人，平均年齡43歲，病灶位置都在後腦窩(Posterior Fossa)。此六例病人都有接受腦血管攝影(Cerebral Angiography)及電腦斷層攝影（computed Tomography以下簡稱CT）。茲就本院病例所見，並回顧文獻，作一報告。

並列摘要

Six Cases of pathologically-verified posterior fossa hemangioblastoma were reviewed regarding their clinical, radiological and pathological aspect. Cases were all male with average age of 43; in which 2 cases had secondary polycythemia. Most of the presenting clinical problems were headache and cerebellar signs.
The findings of CT were rather characteristic. 5 of them showed cystic lesion with a mural nodule and became hyperdensed after contrast enhancement. All the angiography of our cases had hypervascular mass with feeding artery, draining vein and tumor stain. Although it has been widely accepted that CT is the 1st line investigation for any suspected posterior fossa lesion, angiography is still a very important examination for differentiation from cerebellar cystic astrocytoma, AVM etc.
Pathologically, relationship between hemangioblastoma and angioblastic meningioma is still a controversial topic.