Kafa tabanı tümörlerinde ve tümör benzeri lezyonlarında BT ve MRG tanı

Amaç: Bu çalışmada kafa tabanı tümörlerinde ve tümör benzeri lezyonlarının tanısında BT ve MRG’nin rolünün değerlendirilmesi amaçlandı. Yöntem: Kafa tabanı lokalizasyonunda kitle lezyonu olan 60 olgunun BT ve MRG tanıları ve bulguları klinikopatolojik sonuçlarla karşılaştırılarak literatür verileri ile değerlendirildi. Bulgular: 60 olgunun 16’sını (% 26.6) hipofiz makroadenomları, 5’ini (% 8.3) kordomalar, 4’ünü (% 6.6) kraniofarenjioma, 9’unu (% 15) menenjioma, 7’sini (% 11.6) juvenil anjiofibrom, 5’ini (% 8.3) nazofarinks karsinomu, 7’sini (% 11.6) akustik nörinom ve 7’sini (% 11.6) kraniofasial fibröz displazi oluşturmaktaydı. 60 olgu hem BT hem MRG ile % 100 doğru tanı aldı. Sonuç: Kafa tabanında lokalize lezyonlarda BT kafa tabanı kitlelerini saptamakta yeterli olmakla beraber, kitlenin çevre yumuşak dokularla olan ilişkisinin değerlendirilmesinde, kitle içi hemoraji varlığının saptanmasında MRG’ye göre yetersiz kalmaktadır. Buna karşılık kitle içi kalsifikasyonların saptanması ve lezyona komşu kemik yapılardaki destrüksiyonun gösterilmesinde BT, MRG’ye göre daha iyi sonuç vermektedir.

Anahtar Kelimeler:

Manyetik rezonans görüntüleme, Baş ve boyun neoplazmları, Kafatası tümörleri, Tomografi, x-ışınlı bilgisayarlı, Kafa tabanı neoplazmları, Kafa tabanı

The comparison of CT and MRI results in tumors and tumor like lesions of basis cranium

Objective: It was aimed to evaluate the role of CT and MRI in tumor like lesions of basis cranium. Methods: We have evaluated CT and MRI findings of 60 patients who have been tough to have tumors and tumor like lesions in the basis cranium with clinicopathologic results. Results: 16 (26.6%), 5 (8.3%), 4 (6.6%), 9 (15%), 7 (11.6%), 5 (8.3%), 7 (11.6%), 7 (11.6%) out of 60 cases consisted of pituitary macroadenomas, chordomas, craniopharyngiomas, menengiomas, juvenilangiofibromas, nasopharinx carsinomas, caustic schwannomas, epidermoid cysts and craniofascial fibrous dysplasies respectively. All of these 60 cases were verified by both CT and MRI. Conclusion: Although CT is suitable to identify masses in the basis cranium, it is not enough in evaluating of relations of masses with its environmental soft tissues and in determination of availability of internal hemorrhage with respect to MRI. However, CT gives better results with respect to MRI in detecting internal mass calcifications and in displaying changes such as destruction in bone structures of adjacent lesions.

Keywords:

Magnetic Resonance Imaging, Head and Neck Neoplasms, Skull Neoplasms, Tomography, X-Ray Computed, Skull Base Neoplasms, Skull Base,

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Reul J, Weis J, Spetzger U, Isensee CH, Thron A. Differential diagnosis of truly suprasellar space-occupying masses: Synopsis of clinical findings, CT, and MRI. Eur Radiol 1995;5:224-37.
Gly Denstein C, Karle A. Computed tomography of infra and juxta- sellar lesions: a radiologic study of 108 cases. Neuroradiology 1977;14:5-13.
Cristin CM, Davis DO. Computed tomography in the evaluation of pituitary adenomas. Invest Radiol 1977;12:27-35.
Davis PC, Hoffman JC, Spencer T, Tindal GT, Braun IF. MR Imaging of pituitary adenoma: CT, clinical, and surgical correlation. AJR 1987;148:797-802.
Kurhara N, Takahashi S, Higano S, Ikeda H, Mugikura S, Sing LN, et al. Hemorrhage in pituitary adenoma: Correlation of MR imaging with operative findings. Eur Radiol 1998;8:971-76.
Davis PC, Gokhale KA, Joseph GJ, Peterman SB, Adams DA, Tindall GT, et al. Pituitary adenoma: Correlation of half-dose gadolinium- enhanced MR imaging with surgical findings in 26 patients. Radiology 1991;180:779-84.
Curtin HD, Chavali R. Imaging of the skull base. Radiol Clin North Am 1998;36:801-18.
Brown RV, Sage MR, Brophy BP. CT and MR findings in patients with chordomas of the petrous apex. AJNR 1990;11:121-4.
Sze G, Uichanco LS, Brant-Zavadzki MN. Chordomas. MR Imaging Radiol 1988;166:187-191.
Krol G, Sundaresan N, Deck M. Computed tomography of axial chordomas. J Comput Assist Tomogr 1983:7:286-9.
Hilman TD, Peyster RG, Hoover ED, Nair S, Finkelstein SD. Infrasellar craniohoryngioma: CT and MR studies. J Comput Assist Tomogr 1988;12:702-4.
Akimura T, Kameda H, Abika S, Aoki H, Kido T. Infrasellar craniopharyngioma. Neuroradiol 1989;31:180-3.
Şener RN. Giant craniopharyngioma extending to the anterior cranial fossa and nasophorynx. AJR 1994;162:441-2.
Wanda I, Benitez KJ, Sartor EJC, Angtuaca S. Craniopharyngioma presenting as a nasopharyngeal mass: CT and MR findings. J Comput Assist Tomogr 1988;12:1068-72.
Andrews BT, Wilson CB. Suprasellar meningiomas: The effect of tumor location on postoperative visual autcome. J Neurosurg 1988;69:523.
Pompili A, Derome PJ, Visot A. Hiperosteozing meningiomas of the sphenoid ridge- clinical features, surgical theraphy, and long-term observations: Review of 49 cases. Surg Neurol 1982;17:411-6.
Zimmerman RA. Imaging of intrasellar, suprasellar and parasellar tumors. Semin Roentgenol 1990;25:174-8.
Watabe T, Azuma T. T1 and T2 measurements of meningiomas and neuromas before and after Gd- DTPA. AJNR 1989;10:463-70.
Graham MD, Sataloff RT. Acustic tumors in the young adult. Arch Otolaryngol 1984;110:405-7.
Maller A, Hatam A, Olivecrona H. Diagnosis of acoustic neuroma with computed tomography. Neuroradiol 1978;17:25-30.
Krassanakis K, Saurtsis E, Karvaunis P. Unusual appearance of an acoustic neuroma in computed tomography. Neuroradiol 1981;21:51-3.
Press GA, Hesselink JR. MR imaging of serebellopontine angle and internal auditory canal lesions at 1.5 T. AJNR 1988;9:241-51.
Mulkens TH, Parizel PM, Martin JJ, Degryse HR, Van de PH, Forton GE, et al. Acoustic schwannoma: MR findings in 84 tumors. AJR 1993;160:395-8.
Laine FJ, Braun IF, Jensen ME, Nadel L, Som PM. Perineural tumor extension through the foramen ovale: Evaluation with MR imaging. Radiology 1990;174:65-71.
Som PM, Sacher M, Lawson W, Biller HF. CT appearance distinguishing benign nasal polyps from malignancies. J Computer Assist Tomogr 1987;11:129-33.
Hassa AN. CT of the tumors and tumor like conditions of the paranasal sinuses. Radiol Clin North Am 1984;22:119-30.
Lloyd GAS, Phelps PD. Juvenil angiofibroma: Imaging by magnetic resonance, CT and conventional techniques. Clin Orolaryngol 1986;11:247-59.
Whelan MA, Reede DL, Meisler W, Bergeron RT. CT of the base of the skull. Radiol Clin North Am 1984;22:177-217.
Billon WP, Mancuso AA. The oropharynx and nasopharynx. In: Newton TH, Hassa A.N, Billon WP. Modern neuroradiology. Volume 3. Computed tomography of the head and neck. New York: Raven Press; 1988.
Hansberger HR, Mancuso AA, Muraki AS. The upper aerodigestive tract and neck: CT evaluation of recurrent tumors. Radiology 1983;149:503-9.
Curtin HD, Williams R, Johnson J. CT of perineural tumor extension: Pterigopalatine fossa. AJNR 1984;5:731-7.
Daffner RH, Kirks DR, Gehveiler JA, Heaston DK. Computed tomography of fibrous dysplasic. AJR 1982;239:943-8.
Mendelsohn DB, Hertzonu Y, Cohen M. Computed tomography of craniofacial dysplasia. J Comput Assist Tomography 1984;8:1062-5.
Fechner RE. Problematic lesions of the craniofacial bones. Am J Surg Pathol 1989;13(Suppl 1):117-21.
Sherman NH, Rao VM, Brennan RE, Edeiken J. Fibrous dysplasio of the fascial bones and mandible Skeletal Radiol 1982;8:141.
Liakos GM, Walker CB, Carruth JAS. Ocular complications in craniofacial fibrous dysplasic. Br J Ophtalmol 1979;63:611-6.
Utz JA, Kransdorf MJ, Jelinek JS, Moser RP, Berrey BH. MR appearance of fibrous dysplasia. J Comput Assist Tomogr 1989;13:845-51.
Casselman JW, De Jonge J, De Clercq C, D’Hont G. MRI in craniofacial fibrous dysplasia. Neuroradiol 1993;35:234-7.

ISSN: 2602-3741
Yayın Aralığı: Yılda 6 Sayı
Başlangıç: 1997
Yayıncı: SELÇUK ÜNİVERSİTESİ > TIP FAKÜLTESİ

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