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近年来我们遇见由病理诊断证实的垂体瘤和胶质瘤并存的病例1例。现结合文献及临床资料对垂体瘤和胶质瘤并存的病因作一理论上的探讨。1 资料 患者,男,47岁,因间断性抽搐2个月于1997年4月7日入院。查体:神经系统未发现阳性体征。头颅MRI示:垂体窝扩大,其内可见形态不规则异常信号影,病灶边界较清楚,约2.5cm×2.0cm×2.9cm。于冠状面上病灶略呈哑铃状,正常垂体未显示,右额叶可见病灶边缘不清,累及右侧基底节区及胼胝体膝部,右侧脑室受压。见图1、2。诊断:①垂体瘤;②右额叶占位性病变,
In recent years, we met by the pathological diagnosis of pituitary tumor and glioma coexist in 1 case. Now combined with the literature and clinical data on the etiology of pituitary tumor and glioma coexist for a theoretical discussion. 1 data patient, male, 47 years old, was admitted to hospital on April 7, 1997 for intermittent twitching two months. Physical examination: the nervous system found no positive signs. Head MRI showed: pituitary fossa enlargement, which can be seen irregular abnormal signal shadow, the lesion border more clearly, about 2.5cm × 2.0cm × 2.9cm. The coronal plane slightly dumbbell-shaped lesions, the normal pituitary not show, right frontal lobe lesions can be seen unclear, involving the right basal ganglia and corpus callosum knee, right ventricle compression. See Figure 1 and 2. Diagnosis: ① pituitary tumor; ② right frontal occupying lesions,