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目的:分析囊肿形星形细胞瘤(CA)形态学与病理分级的关系。材料与方法;总结21例手术病理证实的幕上CA,20例强化。结果:CA强化前后有三种表现,A型,无囊壁的CA,6例;B型,有囊壁的CA,11例,C型,含瘤结节的CA,4例。病理Ⅰ级5例,Ⅰ─Ⅱ级1例,Ⅱ级3例,Ⅲ级11例,Ⅳ级1例。结论:囊肿见于各级肿瘤,恶性者多,依CA不同,CT表现可作提示性分级诊断。
Objective: To analyze the relationship between morphology and pathological grade of cystic astrocytoma (CA). Materials and Methods; 21 cases of supratentorial CA confirmed by surgical pathology were reviewed and 20 cases were fortified. RESULTS: Before and after CA enhancement, there were three manifestations, type A, CA without capsular wall in 6 cases, type B, CA with capsular wall, 11 cases, type C, CA with nodular nodules, and 4 cases. There were 5 cases of pathological grade I, 1 case of grade I-II, 3 cases of grade II, 11 cases of grade III, and 1 case of grade IV. Conclusion: The cysts are found in all grades of tumors, and there are many malignant ones. According to CA, CT manifestations can be used as a prompt grading diagnosis.