摘要
目的 探讨颅内血管外膜细胞瘤的临床特点、病理、治疗及预后。方法 对我院收治的32例颅内血管外膜细胞瘤就其诊断、影像学、病理、治疗、临床特点等进行分析。结果 Ⅰ级 ,全切肿瘤及其受侵硬脑膜、颅骨 7例 ;Ⅱ级 ,全切肿瘤 ,充分烧灼受侵硬脑膜或颅骨 ,并处理受侵静脉窦 13例 ;Ⅲ级 ,全切肿瘤 ,未处理受侵硬脑膜和颅骨 7例 ;Ⅳ级 ,肿瘤残留 5例。复发 13例。手术结果分别为Ⅰ级 2例 ,Ⅱ级 5例 ,Ⅲ级 3例 ,Ⅳ级 3例。结论 颅内血管外膜细胞瘤预后不良 ,复发率高 ,手术辅以放射治疗是主要治疗手段 。
Objective To further elucidate the clinical feature, pathogenesis, treatment and prognosis of intracranial hemangiopericytomas (HPC). Methods Thirty two cases of HPC treated in our department were analyzed retropectively. Results Grade Ⅰ surgery, complet tumor removal with excision of involved dural and bone (7 cases); Grade Ⅱ surgery, complet tumor removal with agressively cauterization of dural and/or bone (13 cases); Grade Ⅲ surgery, complet tumor removal but no satisfactory attempt to deal with involved dural or bone (7 cases); Grade Ⅳsurgery, tumor residual (7 cases). 13 cases were recurrent. Conclusion The prognosis of intracranial hemangiopericytomas is dismal. The recurrent rates of HPC are very high. Microneurosurgery and adjuvant radiotherapy are main treatment. It is very important that counterchecking at regular intervals.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2000年第6期432-434,共3页
National Medical Journal of China
