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Tumor papilífero da regi?o da pineal associado a síndrome de Parinaud: achados de imagem na ressonancia magnética

机译:派瑞诺氏综合征相关的松果体乳头状肿瘤:磁共振成像发现

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Although the tumor image is nonspecific on the echocardio gram of an individual with pericardial synovial sarcoma, it is fun damental for the initial detection of the disease, quantification of the pericardial effusion, evaluation of cardiac function, and evalu ation of cardiac restraint, as well as allowing comparative analysis with sequential follow-up examinations(10). A solid, heterogeneous mass, with multilocular areas(11) and internal septa, is observed on CT and MRI; in some cases, there is invasion of adjacent struc tures, pericardial effusion and foci of metastases. Cardiac MRI is considered the best modality for the detection and characteriza tion of pericardial synovial sarcoma, because it makes it possible to observe the degree of vascularization, to better detail the cardi ac invasion, and to monitor the post-treatment evolution(10,12). In this context, it can be concluded that, although the imaging tests do not confirm the diagnosis, they play a fundamental role in the detection and characterization, as well as in the preoperative and postoperative planning, of pericardial synovial sarcoma.
机译:尽管肿瘤图像在患有心包滑膜肉瘤的个体的超声心动图上没有特异性,但对于疾病的初始检测,心包积液的定量,心功能的评估以及对心脏束缚的评估,这是很重要的因为可以进行顺序随访检查以进行比较分析(10)。在CT和MRI上观察到具有多眼区域(11)和内部隔片的固体异质块;在某些情况下,会侵犯邻近结构,心包积液和转移灶。心脏MRI被认为是检测和表征心包滑膜肉瘤的最佳方式,因为它使观察血管化程度,更好地详细描述心脏ac侵袭和监测治疗后的进展成为可能(10,12 )。在这种情况下,可以得出结论,尽管影像学检查不能确定诊断,但它们在心包滑膜肉瘤的检测和表征以及术前和术后计划中起着基本作用。

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