中国综合临床
中國綜閤臨床
중국종합림상
Clinical Medicine of China
2015年
10期
868-871
,共4页
孙思辉%付强%李绍山%周庆九%朱晓锋%刘波%柳琛
孫思輝%付彊%李紹山%週慶九%硃曉鋒%劉波%柳琛
손사휘%부강%리소산%주경구%주효봉%류파%류침
软骨肉瘤%颅底%误诊
軟骨肉瘤%顱底%誤診
연골육류%로저%오진
Chondrosarcoma%Skull base%Misdiagnosis cause
目的 探讨颅底软骨肉瘤的诊断及误诊原因.方法 回顾性分析2009年4月至2014年2月我院收治的7例经病理证实为颅底软骨肉瘤的临床资料.结果 7例颅底软骨肉瘤中仅1例术前诊断正确,6例误诊,分别误诊为三叉神经鞘瘤2例,脊索瘤3例,脑膜瘤1例,误诊率为85.7％.结论 颅底软骨肉瘤少见,临床医生对其认识不足,临床表现无特征性及影像学特征不典型是导致误诊的原因.当CT表现为肿瘤边缘出现条状钙化且MRI增强扫描呈蜂窝状强化时,诊断颅底软骨肉瘤有意义.
目的 探討顱底軟骨肉瘤的診斷及誤診原因.方法 迴顧性分析2009年4月至2014年2月我院收治的7例經病理證實為顱底軟骨肉瘤的臨床資料.結果 7例顱底軟骨肉瘤中僅1例術前診斷正確,6例誤診,分彆誤診為三扠神經鞘瘤2例,脊索瘤3例,腦膜瘤1例,誤診率為85.7％.結論 顱底軟骨肉瘤少見,臨床醫生對其認識不足,臨床錶現無特徵性及影像學特徵不典型是導緻誤診的原因.噹CT錶現為腫瘤邊緣齣現條狀鈣化且MRI增彊掃描呈蜂窩狀彊化時,診斷顱底軟骨肉瘤有意義.
목적 탐토로저연골육류적진단급오진원인.방법 회고성분석2009년4월지2014년2월아원수치적7례경병리증실위로저연골육류적림상자료.결과 7례로저연골육류중부1례술전진단정학,6례오진,분별오진위삼차신경초류2례,척색류3례,뇌막류1례,오진솔위85.7％.결론 로저연골육류소견,림상의생대기인식불족,림상표현무특정성급영상학특정불전형시도치오진적원인.당CT표현위종류변연출현조상개화차MRI증강소묘정봉와상강화시,진단로저연골육류유의의.
Objective To investigate the diagnosis and the causes of misdiagnosis of skull base chondrosarcoma.Methods The clinical data of 7 cases of skull base chondrosarcoma confirmed by pathology from April 2009 to February 2014 were analyzed retrospectively.Results Only 1 case of preoperative diagnosis was correct in 7 cases of skull base chondrosarcoma, other 6 cases were misdiagnosed, of which 2 cases were misdiagnosed as trigeminal schwannoma, 3 cases were misdiagnosed as chordoma, 1 case was misdiagnosed as meningioma,the misdiagnosis rate was 85.7％.Conclusion Chondrosarcoma of the skull base is rare, so clinicians are lack of knowledge, and non-characteristic clinical features and non-characteristic radiographic manifestations contribute to misdiagnosis.Strip calcification on CT and honeycomb reinforced on enhanced MRI existing at the same time,which prompts to diagnosis chondrosarcoma of the skull base.
