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颅骨骨肉瘤颅内侵润十分少见,国内尚未见报告,我院于1986年3月收治1例,报道如下。患者,女性,19岁。头痛半年,双眼视力减退,近月来症状增剧,乃于1986年3月17日入院。体检:全身情况良好,神清合作,头部未扪及肿块或压痛,瞳孔等大,光反应存在,左眼外展麻痹,眼底水肿,无面瘫,伸舌居中,四肢肌张力正常,腱反射对称,无病理征,胸腹脊椎均无异常,胸片正常。X 片:未发现颅骨骨质破坏。CT 检查:左侧中颅凹,颞骨见明显溶骨及成骨型破坏,左侧颅内颞区见约大小约60.8×53.8mm~2的肿块,肿块与中颅凹及颞骨相连,肿瘤密度高低不等,可见钙化样改变,增强扫描肿瘤染色不均匀,CT 值26.4～
Intracranial invasion of intracranial osteosarcoma is very rare, no reports have been reported in our hospital in March 1986 admitted to a case, reported as follows. Patient, female, 19 years old. Headache for six months, binocular vision loss, increased symptoms in recent months, was March 17, 1986 admission. Physical examination: the whole body in good condition, clear cooperation, the head is not palpable mass or tenderness, pupils and other large, light reaction exists, left eye abduction, fundus edema, no facial paralysis, extensor middle limbs, limb muscle tone normal, tendon reflex Symmetry, no pathological signs, no abnormal chest and abdomen spine, chest X-ray normal. X-ray: No bone destruction found in the skull. CT examination: the left cranial cavity, temporal bone see obvious osteolytic and osteogenic destruction, see the left intracranial and temporal areas about the size of about 60.8 × 53.8mm ~ 2 mass, the mass and the medial skull and temporal bone connected to the tumor density Ranging from high and low, showing changes in calcification, enhanced scanning uneven staining of the tumor, CT value of 26.4 ~