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幕上原始神经外胚瘤五例
引用本文:张彤旭,李聪慧,胡昱红,门换丽,杨利军,张伟,苏现辉,宋贺,聂建刚. 幕上原始神经外胚瘤五例[J]. 脑与神经疾病杂志, 2011, 19(4): 273-275
作者姓名:张彤旭  李聪慧  胡昱红  门换丽  杨利军  张伟  苏现辉  宋贺  聂建刚
作者单位:1. 保定市徐水县人民医院神经外科,河北,072550
2. 石家庄市第一医院神经外科
摘    要:
目的探讨幕上原始神经外胚瘤(supratentorial primitive neuroectodermal tumor,SPNET)的临床表现、影像和病理特征。方法对5例经病理证实的SPNET的资料,分析其临床表现、影像学组织病理学特征、治疗经过及预后。结果 5例中3例为儿童,2例为成人,主要临床表现为颅内高压症状。CT和MRI检查示肿瘤为幕上肿块,呈类圆形或分叶状,边界清楚,2例有钙化灶,3例无瘤周水肿。病理结果提示肿瘤组织主要由小圆形细胞组成,部分为梭形细胞,细胞密集成巢,由纤维结缔组织分隔成小叶状,核染色质颗粒状,核仁不明显,多数可见核分裂象,形成Homer Wright菊形团。结论 SPNET的影像学和组织病理学表现均有一定特征,影像学及临床表现相结合有助于术前与其他肿瘤相鉴别,提高诊断准确性。

关 键 词:幕上神经外胚瘤  病理学  临床表现  鉴别诊断

Diagnosis and treatment of supratentorial primitive neuroectodermal tumors: report of 5 cases
ZHANG Tong-xu,LI Cong-hui,HU Yu-hong,MEN Huan-li,YANG Li-jun,ZHANG Wei,SU Xian-hui,SONG He,NIE Jian-gang. Diagnosis and treatment of supratentorial primitive neuroectodermal tumors: report of 5 cases[J]. Journal of Brain and Nervous Diseases, 2011, 19(4): 273-275
Authors:ZHANG Tong-xu  LI Cong-hui  HU Yu-hong  MEN Huan-li  YANG Li-jun  ZHANG Wei  SU Xian-hui  SONG He  NIE Jian-gang
Affiliation:ZHANG Tong-xu,LI Cong-hui,HU Yu-hong,MEN Huan-li,YANG Li-jun,ZHANG Wei,SU Xian-hui,SONG He,NIE Jian-gang.Department of Neurosurgy,the People's Hospital of Xushui,Hebei 072550,China
Abstract:
Objective To discuss the clinical,imaging findings,and histopathologic features of supratentorial primitive neuroectodermal tumor(SPNET) supply data for treatment and diagnosis successfully.Methods The clinical materials of 5 SPNETs which included manifestations,imaging findings,histopathologic features diagnosis,treatment and prognosis were summarized and analyzed retrospectively.All the patients underwent microsurgery.Results Three cases happened in children and two in adults.The most manifestations were ...
Keywords:Supratentorial primitive neuroectodermal tumor  Pathology  Clinical manifestations  Differential diagnosis  
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