CT and MRI Features of Intracranial Solitary Fibrous Tumor(Report of 2 Cases and Literature Review)
Heshui Shi
Abstract
Heshui Shi
Abstract
Objective To explore the imaging and pathology features of solitary fibrous tumor(SFT).Materials and Methods The clinical data and imaging findings of 2 patients with SFT proved by operation and pathology were retrospectively analyzed.Results The lobulated tumors were located in left parietal lobe and cerebellum.The two tumors showed iso-density on plain CT images.The tumor located at left parietal lobe showed iso-intensity on T1WI,hyper-intensity on T2WI and large areas of edema,The tumor located at cerebellum showed iso-intensity on T1WI,hypo-intensity on T2WI and vascular flow void signal.The two tumors showed obviously enhanced on contrast CT and MR.Under the microscope,the tumor cells were spindle,bundle or a Wavy distribution,mixed with abundant collagen fibers.Positive immunohistochemistry staining showed Vimentin(+),CD34(-)or(+).Conclusion cerebral SFT has some characteristics on MRI,yet final diagnosis should be based on histopathology and immunohistochemistry examinations.
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Objective To explore the imaging and pathology features of solitary fibrous tumor(SFT).Materials and Methods The clinical data and imaging findings of 2 patients with SFT proved by operation and pathology were retrospectively analyzed.Results The lobulated tumors were located in left parietal lobe and cerebellum.The two tumors showed iso-density on plain CT images.The tumor located at left parietal lobe showed iso-intensity on T1WI,hyper-intensity on T2WI and large areas of edema,The tumor located at cerebellum showed iso-intensity on T1WI,hypo-intensity on T2WI and vascular flow void signal.The two tumors showed obviously enhanced on contrast CT and MR.Under the microscope,the tumor cells were spindle,bundle or a Wavy distribution,mixed with abundant collagen fibers.Positive immunohistochemistry staining showed Vimentin(+),CD34(-)or(+).Conclusion cerebral SFT has some characteristics on MRI,yet final diagnosis should be based on histopathology and immunohistochemistry examinations.
Key concepts: Medicine, Solitary fibrous tumor, CD34, Vimentin, Pathology, Histopathology, Immunohistochemistry, Radiology