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Supratentorielle Tumoren

Supratentorial tumors

  • Leitthema: Hirntumoren
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Zusammenfassung

Routinemäßig wird bei vermuteter intrazerebraler Raumforderung eine Magnetresonanztomographie durchgeführt, meist ist auch eine Computertomographie indiziert. Die weitere Diagnostik sowie die Befundinterpretation differieren in Abhängigkeit von der Tumorart. Im vorliegenden Beitrag wird auf die Symptome und die Diagnostik der supratentoriellen Tumoren eingegangen, und zwar getrennt nach intra- bzw. extrakranialer Lokalisation. Zu den supratentoriellen intrakranialen Tumoren sind zu rechnen: Astrozytome, die nach umschriebenem und diffusem Wachstum unterschieden werden, Gangliogliome, Ganglioneurome, Ependymome, Neurozytome, primitive neuroektodermale Tumoren (PNET), Oligodendrogliome, dysembryoplastische neuroepitheliale Tumoren (DNET), Meningeoangiomatosen, Pinealistumoren, Hamartome, Lymphome, Kraniopharyngeome sowie Metastasen. Zu den supratentoriellen extrakranialen Tumoren gehören Tumoren des Plexus choroideus, Kolloidzysten, Meningeome, infantile Myofibromatose und Lipome. Auch die häufigsten Unterformen dieser Raumforderungen, insbesondere der Astrozytome, werden vorgestellt.

Abstract

Magnetic resonance imaging is a routine diagnostic measure for a suspected intracerebral mass. Computed tomography is usually also indicated. Further diagnostic procedures as well as the interpretation of the findings vary depending on the tumor location. This contribution discusses the symptoms and diagnostics for supratentorial tumors separated in relation to their intra- or extracranial location. Supratentorial tumors include astrocytoma, differentiated by their circumscribed and diffuse growth, ganglioglioma, ependyoma, neurocytoma, primitive neuroectodermal tumors (PNET), oligodendroglioma, dysembryoplastic neuroepithelial tumors (DNET), meningoangiomatosis, pineal tumors, hamatoma, lymphoma, craniopharyngeoma and metastases. The supratentorial extracranial tumors include the choroid plexus, colloid cysts, meningeoma, infantile myofibromatosis and lipoma. The most common sub-forms, especially of astrocytoma, will also be presented.

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Grunwald, I., Dillmann, K., Roth, C. et al. Supratentorielle Tumoren. Radiologe 47, 471–485 (2007). https://doi.org/10.1007/s00117-007-1519-3

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