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Journal of Korean Neurosurgical Society 1980;9(1): 25-38. |
| The Feasibility of Histopathological Diagnosis on the Basis of CT Findings in 60 Consecutive Supratentorial Gliomas. |
| Young Cho Koh, Kil Soo Choi |
| Department of Neurosurgery, College of Medicine, Seoul National University, Seoul, Korea. |
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| ABSTRACT |
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For assessment of the feasibility of histopathological diagnosis on the basis of CT findings in suratentorial gliomas, 60 consecutive histologically proven cases were analysed. Benign astrocytomas(Kernohan's grade I, I-II, II) were 25, Oligodendrogliomas 6, malignant gliomas(Kernohan's grade III, III-IV, GM) 29 in number. Plain CT findings and degree of peritumoral edema were less significant than the patterns of contrast enhancement in predicting the histological malignancy. Calcification, if present, excluded the diagnosis of malignant gliomas. Combining the CT criteria of pattern of contrast enhancement, degree of peritumoral edema with angiographic signs of malignancy in addition to the clinical feature, a more confident histological diagnosis seemed allowable. |
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