Histologically confirmed changes on CT of reoperated low-grade astrocytomas
| Autor: | D. 'Afra, É. Osztie |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male Reoperation Low grade astrocytomas Time Factors Astrocytoma Malignant transformation Central nervous system disease Lesion Glioma medicine Humans Radiology Nuclear Medicine and imaging Neuroradiology Brain Neoplasms business.industry Brain medicine.disease Female Neurology (clinical) Neoplasm Recurrence Local medicine.symptom Glioblastoma Tomography X-Ray Computed Cardiology and Cardiovascular Medicine Nuclear medicine business Follow-Up Studies Anaplastic astrocytoma |
| Zdroj: | Neuroradiology. 39:804-810 |
| ISSN: | 1432-1920 0028-3940 |
| DOI: | 10.1007/s002340050509 |
| Popis: | During a 15-year period 37 patients with primary low-grade astrocytoma have been operated upon twice in our institute. CT and histological data at the time of the first and second operations were compared. The majority of primary astrocytomas showed as a low-density area without contrast enhancement; minimal, mainly marginal enhancement was present in six cases. At reoperation 10 tumours were histologically unchanged; the corresponding CT studies displayed a nonenhancing lesion, although insignificant contrast uptake could be seen in three cases. There were 18 tumours which had transformed into anaplastic astrocytoma: CT before repeat surgery showed more or less marked enhancement. In all nine cases which progressed into glioblastoma multiforme strong contrast enhancement was seen on CT at the time of recurrence. Although the grade of contrast uptake varied, the appearance of or increase in enhancement was a sign of some degree of anaplastic change, particularly convincing in cases of dedifferentiated glioblastoma multiforme. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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