实质性血管网状细胞瘤1例报告并文献复习
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摘要
目的探讨血管网状细胞瘤的临床特点、诊断和治疗方法,以期提高该病的诊断和治疗水平。方法回顾性分析我科1例经病理证实的血管网状细胞瘤的临床表现、影像学表现、病理特点等临床资料,通过查阅及复习近5年相关文献,结合已有经验探讨该疾病。结果本病临床表现以慢性颅内压增高症状为主,术前红细胞及血红蛋白增高,术前予以瘤体供血动脉栓塞后显微镜下全切,术后病理证实为血管网状细胞瘤。结论血管网状细胞瘤系良性肿瘤,手术切除为主要治疗手段,对于血供丰富的病例,术前行供血动脉栓塞有利于提高手术全切率。对于不能手术或复发的病例,可考虑行伽马刀治疗。
引文
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[3]Lewis JI,Thiel DD,Broderick GA,et al.Cystadenoma of the rete testis in a patient with von Hippel-Lindau disease[J].Urology,2017,106:e5-e6.doi:10.1016/j.urology.2017.05.003.
[4]徐梓榕,尹梅祥,梁显球.磁共振临床应用[M].广州:广东科技出版社,2002.
[5]邬祖良,史继新,杭春华,等,血管母细胞瘤的临床和病理学特点[J].中华外科杂志,2003,41(8):614-616.
[6]吴国鑫,廖圣芳,黄国河,等.神经导航辅助下显微手术切除血管母细胞瘤[J].中国临床神经外科杂志,2016,21(10):611-612.
[7]张开鹏,刘德财,金澎.颅内血管母细胞瘤的诊断及显微手术治疗[J].中国临床神经外科杂志,2016,21(10):601-602.
[8]延鹏翔,王忠诚,于春江,等.小脑实性血管网织细胞瘤的诊断和显微外科治疗[J].中华外科杂志,2004,42(13):777-780.
[9]Wang C,Zhang J,Liu A,et al.Surgical management of medullary haemangioblastoma:report of 47 cases[J].Surg Neurol,2001,56(4):218-226.doi:10.1016/s0090-3019(01)00590-0.
[10]Vázquez-A1ón V,Botella C,Beltrán A,et al.Preoperative embolization of solid cervicomedullary junction hemangioblastomas:report of two cases[J].Neuroradiology,1997,39(2):86-89.doi:10.1007/s002340050372.
[11]Niu L,Zhang Y,Li Q,et al.The analysis of correlative factors affecting long-term outcomes in patients with solid cerebellar hemangioblastomas[J].Clin Neurol Neurosurg,2016,150:59-66.doi:10.1016/j.clineuro.2016.08.028.
[12]Fukuda M,Takao T,Hiraishi T,et al.Clinical factors predicting outcomes after surgical resection for sporadic cerebellar hemangioblastomas[J].World Neurosurg,2014,82(5):815-821.doi:10.1016/j.wneu.2014.06.018.
[13]Silva D,Grabowski MM,Juthani R,et al.Gamma knife radiosurgery for intracranial hemangioblastoma[J].J Clin Neurosci,2016,31:147-151.doi:10.1016/j.jocn.2016.03.008.
[14]李俊芝,古丽那尔·阿布拉江,张巍.血管母细胞瘤50例临床病理分析[J].新疆医科大学学报,2010,33(11):1307-1309.
[15]Li Z,Feng T,Teng H,et al.Suprasellar hemangioblastoma without von Hippel-Lindau disease:a case report and literature review[J].Int J Clin Exp Pathol,2015,8(6):7553-7558.
[16]于涓瀚,宋敏,邱雪杉,等.中枢神经系统血管母细胞瘤临床病理特征[J].现代肿瘤医学,2016,24(4):545-548.
[17]Wu Y,Wang T,Zhang PP,et al.Extraneural hemangioblastoma of the kidney:the challenge for clinicopathological diagnosis[J].J Clin Pathol,2015,68(12):1020-1025.doi:10.1136/jclinpath-2015-202900.