[1]付强,陈培培,李绍山,等.囊性脑膜瘤的影像、病理学特点及误诊原因研究[J].临床神经外科杂志,2019,16(4):345-349.[doi:10.3969/j.issn.1672-7770.2019.04.014]
 FU Qiang,CHEN Pei-pei,LI Shao-shan,et al.Imaging and pathological features and misdiagnosis causes of cystic meningioma[J].Journal of Clinical Neurosurgery,2019,16(4):345-349.[doi:10.3969/j.issn.1672-7770.2019.04.014]
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囊性脑膜瘤的影像、病理学特点及误诊原因研究()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
16
期数:
2019年第4期
页码:
345-349
栏目:
论著
出版日期:
2019-08-15

文章信息/Info

Title:
Imaging and pathological features and misdiagnosis causes of cystic meningioma
作者:
付强陈培培李绍山魏康康王增亮刘波周庆九
830054 乌鲁木齐,新疆医科大学第一附属医院神经外科(付强,李绍山,魏康康,王增亮,刘波,周庆九),临床营养科(陈培培)
Author(s):
FU Qiang CHEN Pei-pei LI Shao-shan et al.
Department of Neurosurgery, First Affiliated Hospital of Xinjiang Medical University, Wulumuqi 830054, China
关键词:
囊性脑膜瘤影像学病理学误诊手术治疗
Keywords:
cystic meningioma image pathology misdiagnosis surgical treatment
分类号:
R739.45
DOI:
10.3969/j.issn.1672-7770.2019.04.014
文献标志码:
A
摘要:
【摘要】目的探讨囊性脑膜瘤的影像学和病理学特点、误诊原因及手术治疗效果。方法回顾性分析新疆医科大学第一附属医院神经外科手术并经病理证实的11例囊性脑膜瘤患者的临床资料。术后采用门诊及电话对患者进行随访。结果11例患者中,术前误诊为胶质瘤7例、转移瘤3例、血管母细胞瘤1例;影像学Zee分型:Ⅰ型2例、Ⅱ型8例、Ⅲ型1例。11例患者均行手术治疗,其中simpsonⅠ级切除者5例、simpsonⅡ级切除6例;术后行伽玛刀放疗者5例。病理检查结果:8例患者为血管瘤型脑膜瘤WHOⅠ级,3例患者为非典型脑膜瘤WHOⅡ级。术后症状改善者9例,无变化1例,恶化1例;随访6个月~3年,11例患者均存活,1例患者肿瘤复发。结论囊性脑膜瘤临床少见,术前容易误诊,其影像学表现和病理类型有助于确诊及指导手术治疗。
Abstract:
Abstract: ObjectiveTo explore the imaging and pathological features, misdiagnosis and surgical treatment of of cystic meningioma. MethodsThe clinical data of 11 patients of cystic meningioma with pathologic confirmation in the First Affiliated Hospital of XinJiang Medical University were analyzed retrospectively. The clinic and telephone follow-up were conducted. ResultsOf 11 patients,7 were misdiagnosed as glioma, 3 metastatic tumor and 1 angioblastoma preoperatively. Zee classification showed type Ⅰ in 2 cases, type Ⅱ in 8 and type Ⅲ in 1. All cases were performed surgery.Of 11 patients, 5 received Simpson I excision, 6 simpson Ⅱ resection and 5 were followed with postoperative gamma knife radiotherapy. Pathological results showed 8 cases were angiomatous meningioma WHO Ⅰ grade and 3 cases were atypical meningioma WHO Ⅱ grade. Postoperative symptoms were improved in 9 cases, with no change in 1 and deterioration in 1. The follow-up period lasted from 6 months to 3 years. 11 patients survived and 1 experienced recurrence of tumor. ConclusionsCystic meningioma is rare and easy to be misdiagnosed preoperatively. Understanding its imaging manifestations and pathological types is helpful for diagnosis and treatment.

相似文献/References:

[1]宋坤,王娟,柴学,等.室管膜下瘤9例临床分析[J].临床神经外科杂志,2016,(02):131.
 SONG Kun,WANG Juan,CHAI Xue,et al.Clinical analysis of 9 paitients with subependymoma[J].Journal of Clinical Neurosurgery,2016,(4):131.
[2]唐晓宇,吴刚,成之奇,等.误诊为脑胶质瘤复发的放射性脑损伤1例报告并文献复习[J].临床神经外科杂志,2018,15(05):387.[doi:10.3969/j.issn.1672-7770.2018.05.017]
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更新日期/Last Update: 2019-08-01