Imaging findings and clinical analysis of craniopharyngioma
10.3760/cma.j.cn115455-20220413-00287
- VernacularTitle:颅咽管瘤的影像学表现与临床分析
- Author:
Chengyin LIU
1
;
Xiang′en SHI
;
Yuming SUN
;
Fangjun LIU
;
Hai QIAN
;
Long WANG
Author Information
1. 北京市平谷区医院神经外科，北京 101200
- Keywords:
Craniopharyngioma;
Imaging findings;
Diagnosis
- From:
Chinese Journal of Postgraduates of Medicine
2022;45(8):685-688
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrospectively summarize the imaging and clinical features of craniopharyngioma in order to improve the preoperative diagnosis level.Methods:One hundred and twenty-seven patients with craniopharyngioma diagnosed by pathology in Sanbo Brain Hospital, Capital Medical University from March 2019 to June 2021 were selected and the pathological coincidence rate of imaging diagnosis were analyzed.Results:The coincidence rate of MRI diagnosis was 89.3%. The coincidence rate of CT diagnosis was 71.5%. On T 2WI and T 1WI enhanced sequences, the solid portion of the tumor may showed uneven hyperintensity, diffuse striation and spotty hyperintensity. MRI sagittal view was helpful in showing small tumors, but less sensitive to calcification than CT. MRI enhancement was very important, especially for patients with solid lesions. Conclusions:The imaging findings of craniopharyngioma are diverse. Some characteristic manifestations provide important information for the diagnosis and differential diagnosis of craniopharyngioma, which can improve the diagnostic accuracy combined with clinical data.
