雪人征表现为鞍区MR上,垂体形态增大、突入鞍上,呈两头宽、腰部窄的雪人样改变。
雪人征见于垂体大腺瘤患者,其直径1CM。垂体大腺瘤通常为质软,实性的病灶,出血、坏死多见。肿瘤起源于鞍内,随着体积增大而向上生长。当逐渐增大的肿瘤组织通过鞍膈时,会在该水平受束形成细腰样压迹,而鞍内和鞍上的部分则较宽大,使得肿瘤的形态酷似雪人。雪人征提示肿瘤起自鞍内,可帮助鉴别起自鞍膈的脑膜瘤,后者不可见该征象且蝶鞍无扩大。
Snowmaninpituitaryadenomapatients,for1cmindiameter.Largepituitaryadenomaisusuallysoftandsolidlesions,hemorrhage,necrosis.Withinthetumororiginatedinthesaddle,growupwithvolumeincrease.Whenagradualincreaseintumortissuebysaddlediaphragm,onthelevelofthebeamwaistsamplepressuremarkformed,whileinthesaddleandsaddlepartsiswider,tumorshaperesemblingasnowman.Snowmancharacterprompttumorswithinthesaddle,canhelpidentifythesaddlediaphragmofmeningioma,whichisnotvisibletothesignsandnoexpansionofthesella.
赞赏
转载请注明:http://www.uzngq.com/zlyf/7301.html