[1]李焦明,甘有均,牛小东,等.不典型胶质母细胞瘤误诊为脑包虫病1例报告及文献复习[J].临床神经外科杂志,2018,15(05):384-386.[doi:10.3969/j.issn.1672-7770.2018.05.016]
　LI Jiao-ming,GAN You-jun,NIU Xiao-dong,et al.Atypical glioblastoma misdiagnosed as echinococcosis(a report of 1 case and review of literature)[J].Journal of Clinical Neurosurgery,2018,15(05):384-386.[doi:10.3969/j.issn.1672-7770.2018.05.016]
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不典型胶质母细胞瘤误诊为脑包虫病1例报告及文献复习()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
15
期数:
2018年05期
页码:
384-386
栏目:
临床研究
出版日期:
2018-10-15

文章信息/Info

Title:
Atypical glioblastoma misdiagnosed as echinococcosis(a report of 1 case and review of literature)
作者:
李焦明; 甘有均; 牛小东; 王天伟; 杨渊; 毛庆
610041 成都，四川大学华西医院神经外科
Author(s):
LI Jiao-ming; GAN You-jun; NIU Xiao-dong; et al.
Department of Neurosurgery，West China Hospital，Sichuan University，Chengdu 610041，China
关键词:
脑包虫病; 胶质母细胞瘤; 误诊
Keywords:
cerebral echinococcosis; glioblastoma; misdiagnosis
分类号:
R730.264
DOI:
10.3969/j.issn.1672-7770.2018.05.016
文献标志码:
D
摘要:
目的 探讨术前诊断为脑包虫病，术后病理检查确诊为胶质母细胞瘤（glioblastoma，GBM）WHO Ⅳ级患者的临床表现及影像学特点，分析产生误诊的原因，比较两者之间的异同，提高对这两种疾病的识别能力和诊治水平。方法 对1例胶质母细胞瘤误诊为脑包虫病患者的临床资料进行回顾性分析。检索Embase、PubMed、CKNI、CBM、万方、维普等数据库查阅相关文献，分析、总结产生误诊的原因。结果 患者居住在四川省邛崃市，因“左侧肢体无力20多天”入院。术前诊断为脑包虫病，后行开颅手术去除病灶，病理学检查证实为胶质母细胞瘤（WHO Ⅳ级）。经过积极治疗，患者的症状明显缓解。结论 四川是包虫病高发区域之一，脑包虫病也不少见，因其可出现不典型临床和影像学表现，容易与不典型胶质瘤混淆；对于症状明显难以确诊者应积极手术治疗。
Abstract:
Abstract:Objection To explore the causes of the misdiagnosis in this case and analyze the differences between the glioblastoma and echinococcosis in order to avoid misdiagnosis and mistreatment.Methods Databases were electronically searched including PubMed,EMbase,Wan Fang,CNKI,and CBM to review the mechanisms.The clinical data of this patient was retrospected systematically,which lead to the misdiagnosis.Results After surgery,the patient was confirmed with the diagnosis of glioblastoma (WHO Ⅳ) and her symptoms improved significantly.Conclusion Sichuan,as the most of high incidence area of echinococcosis,it is not rare to confuse with cerebral echinococcosis.It has atypical clinical manifestations,imaging findings,so it is easily misdiagnosed with glioma.For these confusing cases,it is vital to choose surgical treatment for pathological investigations following.

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更新日期/Last Update: 2018-10-10