Astrocytoma CT: Difference between revisions

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** There are partial enhancement inside the tumor mass
** There are partial enhancement inside the tumor mass


{|
=== Pilocytic astrocytoma ===
| valign="top" |
[[File:Pilocystic 03.jpg|thumb|center|200 px|Axial non contrast CT in a nine-year-old girl showing a slightly hypodense mass in the tectum of the brainstem, compressing the aqueduct of Sylvius and causing obstructive hydrocephalus<SMALL><SMALL>''[https://en.wikipedia.org/wiki/Pilocytic_astrocytoma#/media/File:Pilocytic.jpg]''<ref name="Wikipedia">{{Cite web | title = Wikipedia| url = https://en.wikipedia.org/wiki/Pilocytic_astrocytoma#/media/File:Pilocytic.jpg}}</ref></SMALL></SMALL>]]
|}


===Low grade infiltrative astrocytoma<ref name="Radiopaedia2015">{{cite web | title = Low grade infiltrative astrocytoma [Dr Bruno Di Muzio and Dr Frank Gaillard]| url = http://radiopaedia.org/articles/low-grade-infiltrative-astrocytoma }}</ref>===
=== Diffuse astrocytoma ===
* Typically low grade infiltrating astrocytomas appear as isodense or hypodense regions of positive mass effect, often without any enhancement (in fact presence of enhancement would suggest high [[tumor]]s), although particularly gemistocytic astrocytomas can demonstrates wispy enhancement.
* [[Calcification]] is not seldom (10-20% of cases)1 and may be related to oligodendroglial components (i.e oligoastrocytoma).
* Cystic or [[fluid]] attenuation components are also encountered, particularly in gemistocytic and protoplasmic varieties.


*
=== Anaplastic astrocytoma ===


===Anaplastic astrocytomas<ref name="Radiopaedia">{{cite web | title = Anaplastic astrocytoma [Dr Bruno Di Muzio and Dr Frank Gaillard]| url = http://radiopaedia.org/articles/anaplastic-astrocytoma }}</ref>===
* [[CT]] appearances are intermediate, appearing as regions of low attenuation with positive [[mass]] effect. Enhancement is variable.
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 17:32, 3 January 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]

Overview

CT findings

CT scan may be helpful in the diagnosis of astrocytoma. Findings on CT scan suggestive of astrocytoma include:

  • In low grade astrocytoma:
    • Poorly demarcated mass
    • Low density
    • No inhancement inside the tumor
    • In few cases we might see some calcification and cystic changes inside the mass
  • In high grade astrocytoma:
    • Poorly demarcated mass
    • Low density
    • There are partial enhancement inside the tumor mass

Pilocytic astrocytoma

Diffuse astrocytoma

Anaplastic astrocytoma

References

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