[1]张伟,郭强,陈俊喜,等.多形性黄色星形细胞瘤的临床及影像学特征分析[J].临床神经外科杂志,2018,15(06):457-459.[doi:10.3969/j.issn.1672-7770.2018.06.014]
 ZHANG Wei,GUO Qiang,CHEN Jun-xi,et al.Clinical and neuroimaging features of pleomorphic xanthoastrocytoma[J].Journal of Clinical Neurosurgery,2018,15(06):457-459.[doi:10.3969/j.issn.1672-7770.2018.06.014]
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多形性黄色星形细胞瘤的临床及影像学特征分析()
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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06期
页码:
457-459
栏目:
临床研究
出版日期:
2018-12-15

文章信息/Info

Title:
Clinical and neuroimaging features of pleomorphic xanthoastrocytoma
作者:
张伟郭强陈俊喜华刚谈庆华
510510 广州,广东三九脑科医院癫痫中心
Author(s):
ZHANG WeiGUO QiangCHEN Jun-xiet al.
Department of Neurosurgery,Guangdong 999 Brain Hospital,Guangzhou 510510,China
关键词:
多形性黄色星形细胞瘤临床特点癫痫影像学特点
Keywords:
pleomorphic xanthoastrocytomaclinical featuresepilepsyimaging features
分类号:
R739.4
DOI:
10.3969/j.issn.1672-7770.2018.06.014
文献标志码:
D
摘要:
【摘要】目的探讨多形性黄色星形细胞瘤的临床及影像学特征。方法对2012年1月至2016年6月在广东三九脑科医院癫痫外科,接受手术治疗的10例多形性黄色星形细胞瘤患者的临床及影像学资料进行回顾性分析。结果MRI检查示,10例患者均为囊实性改变,其中3例患者为大结节小囊、7例患者为小结节大囊;病变位于左颞叶7例、左颞枕交界区1例、右颞叶1例及左侧额中央区1例;增强扫描示,7例患者的肿瘤实性部分和壁结节明显强化,1例患者软脑膜强化,2例患者无强化。8例患者行肿瘤全切术,2例患者行部分切除术。10例患者的临床疗效均满意,术后9例癫痫患者均无发作,1例患者的头痛缓解。随访时间为1~5年不等,术后复查均无复发征像。结论多形黄色星形细胞瘤临床表现多以癫痫发作起病;影像学检查常见囊结节改变,病变多位于幕上,占位及水肿效应轻。最终诊断需依赖病理学检查。
Abstract:
Abstract:ObjectiveTo explore the clinical and neuroimaging features of pleomorphic xanthoastrocytoma(PXA).MethodsThe clinical and image data of 10 patients with PXA underwent operation in Guangdong 999 Brain Hospital from 2012 to 2016 were analyzed retrospectively .Results10 cases were cystic solid type(3 cases of large nodular follicles,7 cases of small nodules,large cysts),located in different lobes(7 in left temporal lobe,1 in left temporal occipital junction,1 in right temporal lobe and 1 in left frontal lobe).The solid part or wall nodule of tumors showed obviously enhancement with sharp edge in 7 cases.1 cases showed leptomeningeal enhancement,no enhancement effect in 2 cases.8 cases underwent total resection and 2 underwent subtotal resection.7 cases were seizures free,2 cases improved significantly,and 1 case had headache relief.The follow-up from 1 to 5 years showed there was no recurrence after the operation.ConclusionsThe majority of patients with pleomorphic astrocytoma have epilepsy.The neuroimaging features are usually characterized by cystic nodules,especially large cystic small nodules,accompanyed by enhancement of cystic nodules.Mostly located in the supratentorial,the occupying effect and edema were mild.The morbidity is low,and sometimes it is difficult to identify other low-grade cystic tumors associated with epilepsy.The final diagnosis depends on pathology.

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更新日期/Last Update: 1900-01-01