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脑干神经节胶质细胞瘤
引用本文:王忠诚,刘阿力,张俊廷,罗林,孙波. 脑干神经节胶质细胞瘤[J]. 中华神经外科疾病研究杂志, 2002, 1(1): 6-9
作者姓名:王忠诚  刘阿力  张俊廷  罗林  孙波
作者单位:1. 100050,北京,北京市神经外科研究所
2. 北京天坛医院神经外科
摘    要:
目的:探讨脑干神经节胶质细胞瘤的临床特点和手术治疗。方法:在我们手术治疗并经病理证实的560例脑干占位病变中,有4例神经节胶质细胞瘤,复习献中报道的24例进行临床分析。结果:脑干神经节胶质细胞瘤的主要发生在儿童及青年人,多位于延髓背部。其生长极为缓慢,病史长,顺MRI上显示为限局性肿瘤影像,显强化,可有囊变及钙化。4例中,1例肿瘤大部分切除,其余3例均完全切除。本组无死亡。结论:在不增加功能障碍的情况下,可将肿瘤完全切除;否则,行部分切除,必要时加行脑室分流手术,也能显延长患生存期。该病不需常规放疗。

关 键 词:脑干 神经节胶质细胞瘤 外科手术 治疗
文章编号:1671-2897(2002)01-006-04
修稿时间:2001-11-18

Ganglioglioma in brainstem
WANG Zhongcheng,LIU Ali,ZHANG Junting,et al.. Ganglioglioma in brainstem[J]. Chinese Journal of Neurosurgical Disease Research, 2002, 1(1): 6-9
Authors:WANG Zhongcheng  LIU Ali  ZHANG Junting  et al.
Affiliation:WANG Zhongcheng,LIU Ali,ZHANG Junting,et al. Beijng Neurosurgical Institute,Beijng 100050,China
Abstract:
Objective To explore the clinical characteristics and surgical treatment of ganglioglioma. Methods We reported 4 cases of ganglioglioma, operated and verified pathologically, among more than 560 cases of brainstem tumors treated in our hospital. Results Gangliogliomas were low grade tumors with a very long clinical history, well circumscribed on MRI and no tumor stain on DSA. Three of the patients had their tumor radically removed. The other one had tumor partially excised. Conclusion We suggest removing such tumors totally if possible and with less possibility of morbidity. VP shunt is necessary for some patients. And routine radiotherapy is not recommended.
Keywords:Brainstem  Ganglioglioma  Surgery
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