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Diagnostic problems of cerebral metastases

Problèmes diagnostiques des métastases cérébrales

Diagnostische Probleme bei cerebralen Metastasen

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Summary

1. The diagnosis of cerebral metastasis is very probable when a primary tumour in another body organ has been identified. — 2. Diagnosis is also very probable in the presence of multiple intracranial tumours which, except in the exceptional cases of multiple neurinomas and multiple meningiomas, are always metastatic. — 3. Diagnosis of metastasis is probable in the presence of an abnormal vascularity of the “rim” or “blot” type. — 4. Diagnosis of metastasis can also be tentatively made in the presence of an abnormal vascularity, meningioma or glioblastoma type, on the basis of the form, size and type of outline. — 5. In all other cases, differential diagnosis between metastases and intracranial primary tumours is impossible.

Résumé

1. Le diagnostic de métastase cérébrale est très probable lorsqu'il existe une tumeur primaire dans un autre organe. 2. Le diagnostic est également très probable lorsqu'on est en présence de tumeurs intra-crâniennes multiples qui, sauf dans les cas exceptionnels de neurinomes multiples et de méningiomes multiples, sont toujours métastatiques. 3. Le diagnostic de métastase est probable en cas de vascularisation anormale périphérique ou parenchymographique. 4. Le diagnostic de métastase peut également être évoqué en présence d'une vascularisation anormale, de type méningiome ou blioblastome, en fonction de la forme, de la taille et des contours. 5. Dans tous les autres cas, le diagnostic différentiel entre métastases et tumeurs primaires intra-crâniennes est impossible.

Zusammenfassung

Die Diagnose einer cerebralen Metastase ist einfach, wenn der Primärtumor bekannt ist. Ebenfalls bereitet die Diagnose keine Schwierigkeiten, wenn multiple intracranielle Geschwülste bestehen. Die Möglichkeit einer Metastasen-Diagnose wird anhand von angiographischen Befunden geschildert. In der Mehrzahl der Fälle ist jedoch die Differentialdiagnose zwischen einer Metastase und einem primären Hirntumor unmöglich.

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  1. Neuroradiological Department (Director: Prof. Giovanni Ruggiero), Ospedale Maggiore, Bologna, Italy

    C. Trevisan & P. Dettori

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  1. C. Trevisan
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  2. P. Dettori
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Trevisan, C., Dettori, P. Diagnostic problems of cerebral metastases. Neuroradiology 3, 216–223 (1972). https://doi.org/10.1007/BF00339956

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