儿童脑膜瘤的临床病理特征.pdfVIP

泸州医学院学报 2007年 第30卷 第6期 J【lurnal of Luzhou Medical CoHege Vo1．30 No．6 2007 501 | 儿童脑膜瘤的临床病理特征 陈礼刚，官明，李定君，刘亮，顾应江，明扬，包长顺，李吴 (泸州I医学院附属医院神经外科，四川泸州 646000) 摘 要 目的：分析和总结儿童脑膜瘤的临床及病理学特征。方法：对本院1998年至2006年经手术及病理证实的27例儿 童脑膜瘤进行回顾性分析，全部病例均经病理学证实。结果：27例患儿均行手术治疗，肿瘤全部切除23例；大部分切除4例，无 死亡。随访23例，肿瘤复发4例。结论：儿童脑膜瘤较为少见，其病程短，起病快，症状以颅内压增高为主。病理组织学表现为较 成年人更多趋于恶性。手术切除的程度是影响预后的主要因素。 关键词 脑膜瘤；儿童：临床病理 中图分类号 R739．45 文献标识码 A 文章编号1000—2669(2007)6-0501—02 CLINICoPATHOLoGIC CHARA CTEIUSTICS oF CHILDREN MENINGIoMA Chen Ligang，et al Department of Neurosurgery,the Affiliated Hospital of Luzhou Medical College Abstract Objective：To analyze the clinicopathologic characteristics of children meningioma．Methods：27 cases of children meningioma confirmed by surgery and pathology in our hospital from 1 998 to 2006 were studied retrospectively．All cases were tested by pathology．Results：Total resection was achieved in 23 cases，partial resection in 4 cases and no cases died．23 patients were followed up and 3 among them had recurrence of tumor． Conclusion：Children meningioma was comparatively rare and onset fast，the course of which was short．The symptom relied mainly on increased intracranial pressure．It was more malignant than adult S in histopathology． Surgical operation was the main factor that influenced the prognosis． Key words Meningioma；Children；Clinicopathology 儿童脑膜瘤的发病率、临床表现及病理学特点 球凸面7例，岩尖3例，颅中凹底3例，鞍区5例。影 与成年人不同。本科自1996年至2006年经手术及 像学检查：头颅CT扫描病变多呈等密度或高密度， 病理证实的儿童脑膜瘤27例，占同期脑膜瘤的 可伴不同程度的钙化及脑水肿，增强扫描可见较一 2．09％。现报道如下。 致的强化，其中有7例出现囊性变，有4例肿瘤边界 不清。头颅MR