中枢神经系统血管外皮细胞瘤的诊断与治疗(附文献复习)
蔡瑜;成侃;赵卫国
【期刊名称】《中国临床神经科学》 【年(卷),期】2012(020)006
【摘要】目的；探讨中枢神经系统血管外皮细胞瘤(HPCs)的临床表现、影像学特征、鉴别诊断和治疗.方法:回顾性分析2001年1月至2010年9月收治的5例中枢神经系统HPCs患者的临床、影像学、病理学表现及治疗结果,并结合文献复习总结中枢神经系统HPCs的诊断和治疗经验.结果:5例HPCs患者中,2例术前确诊先行颈外动脉供血栓塞.5例均行显微神经外科手术下全切除肿瘤,术后辅助局部放射治疗.病理表现为典型的“鹿茸状”血管腔隙.免疫组化染色波形蛋白呈强阳性.3例随访未见肿瘤局部复发和转移,死亡1例,失访1例.结论:手术全切除肿瘤,并联合局部放疗是中枢神经系统HPCs的首选治疗方案.术前明确诊断、血管内栓塞减少肿瘤供血是影响手术成功的主要因素.HPCs具有局部复发率高、远期有颅外转移的特点,术后有必要长期随访观察.%Aim: To elucidate the clinical manifestation, pathological features and the treatment of hemangiopericytoma (HPC) in central nervous system. Methods: 5 patients with intracranial HPC treated in our department from January 2001 to September 2009 were retrospectively reviewed. Results: Preoperative DSA imaging and tumor blood supply embolization were performed in 2 patients. Gross total removal (GTR) was achieved in all 5 patients, as well as postoperative adjuvant radiation therapy. Histological features were presented with thin-walled vascular networks
中枢神经系统血管外皮细胞瘤的诊断与治疗(附文献复习)
