颅底转移癌15例临床分析

目的探讨颅底转移癌的诊断和治疗。方法通过分析１５例颅底转移癌的病理分型、临床及影像学表现,讨论颅底转移癌的诊断和预后。结果本组１５例,前颅窝底７例,中颅窝底和后颅凹各３例,全切除１３例,次全切除２例,主要并发症为脑脊液漏。结论颅底转移癌少见,临床误诊率高,手术切除为有效治疗方法,对粘连严重、切除困难的肿瘤不强调勉强全切除

Diagnosis and treatment of skull base metastasis

Objective To study the diagnosis and surgical treatment of skull base metastases. Methods Clincal and radiological features, operative technique and postoperative complications of 15 cases of skull base metastases were discussed. Results Total resection was achieved in 13 cases, and subtotal resection in 2. 7 tumors were located in the anterior skull base. The main complication was CSF leakage. Conclusion The preoperative diagnosis of skull base metastases is diffcult, radical resection is effective, and postoperative complications are not uncommon.