Mucin-Rich Brain Metastasis May Show the T2-FLAIR Mismatch Sign: A Case Report and Literature Review.

Journal of the Korean Society of Radiology Pub Date : 2024-07-01 Epub Date: 2024-04-29 DOI:10.3348/jksr.2023.0130
Hyun Jae Kim, Yoon Jin Cha, Seung Ho Choi, Chang Joon Kang, Jihwan Yoo, Sung Jun Ahn
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Abstract

This study describes a unique case of single mucin-rich brain metastasis in a patient with breast cancer, mimicking the T2-fluid attenuation inversion recovery (FLAIR) mismatch sign and masquerading as an isocitrate dehydrogenase-mutant astrocytoma. This case highlights the importance of considering mucin-rich lesions in the differential diagnosis of intracranial tumors exhibiting T2-FLAIR mismatch. Clinicians must recognize the potential convergence in imaging characteristics between these metastases and gliomas to guarantee prompt and accurate patient care.

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富含黏蛋白的脑转移瘤可能显示 T2-FLAIR 错配征象:病例报告和文献综述。
本研究描述了一例独特的乳腺癌患者单发富含粘蛋白的脑转移瘤病例,该病例模仿了T2-流体衰减反转恢复(FLAIR)错配征象,并伪装成异柠檬酸脱氢酶突变星形细胞瘤。该病例强调了在鉴别诊断表现出T2-FLAIR错配的颅内肿瘤时考虑富含粘蛋白病变的重要性。临床医生必须认识到这些转移瘤和胶质瘤在影像学特征上的潜在趋同性,以保证对患者进行及时准确的治疗。
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[Announcement of the Establishment of the 'Healthcare Policy' Section and Introduction of the New Section Editor]. [Annual Report of J Korean Soc Radiol in the 80th Korean Congress of Radiology, 2024]. [Medical Radiation Safety: Are We Doing It Right?] [Preface for Special Issue on Medical Policy and Radiology]. [Rules Regarding Special Medical Equipment and Exclusively Affiliated Radiologists in Korea].
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