CNS MYCOSIS-FUNGOIDES - CT AND MR FINDINGS

被引:15
作者
TIEN, RD [1 ]
BROWN, M [1 ]
MASSEY, EW [1 ]
机构
[1] DUKE UNIV,MED CTR,DEPT MED,DIV NEUROL,DURHAM,NC 27710
关键词
MYCOSIS FUNGOIDES; CENTRAL NERVOUS SYSTEM; DISEASES; GRANULOMA; COMPUTED TOMOGRAPHY; MAGNETIC RESONANCE IMAGING;
D O I
10.1097/00004728-199207000-00005
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Mycosis fungoides (MF) is a malignant T-cell lymphoma that primarily involves the skin, but may, in its advanced stages, metastasize to internal organs. From autopsy series, CNS involvement of MF can be seen in 14% of patients. We describe the CT and MR findings in three patients with CNS metastases. The images showed various manifestations of CNS MF, including parenchymal homogeneously intensely enhancing masses and ependymal enhancement. The CSF and biopsy results were eventually diagnostic in all three cases. One patient was treated prior to pathologic diagnosis, the other two were treated after diagnosis. The tumor improved following treatment in two patients. Although the imaging findings of CNS MF are nonspecific, they can be the first evidence of the disease.
引用
收藏
页码:529 / 533
页数:5
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