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Patient information
Female, 18 years old, headache worsens for 9 years and half a year
.
Swipe left and right to see
01How to read the film?
A solid clumpy cyst is visible in the right frontal parietal lobe, with a slightly lower signal on T1WI and a slightly higher signal on T2WI, with enhanced scan solid components and moderate enhancement
of the sac wall.
02 Diagnostic results
Right frontomarotical parietal glioblastoma (grade WH0IV.
Case discussion
Glioblastoma is a neuroepithelial tumor that occurs in the adult central nervous system, accounting for 22.
Glioblastoma can occur at any age, but often affects adults, with a peak incidence of 45 to 75 years old, a male-to-female incidence ratio of 1 .
differential diagnosis
1.
2.
Image signs
Typical glioblastoma MRI is manifested as equal or low or equal mixed signal in the solid part of T1WI, high signal in a small number of tumor bodies, which is related to tumor proliferation or bleeding, and mixed high signal in T2WI solid part.
Since the pathological characteristics of glioblastoma are obvious ischemic coagulation necrosis in the tissue, the surrounding tumor cells are arranged in a fence, and the small blood vessels in the interstitium are significantly hyperplified
.