CAJ | 학술논문

目的总结中枢神经细胞瘤临床特点,探讨其治疗策略.方法回顾性分析94例中枢神经细胞瘤患者临床资料.全部行手术治疗,肿瘤全切除66例,近全切除26例,部分切除2例;分析总结中枢神经细胞瘤的临床、病理、影像特点.结果死亡2例,随访84例,术后放疗56例,肿瘤复发4例.多数患者生存良好.结论中枢神经细胞瘤多发于室间孔附近侧脑室系统,手术全切除是最佳治疗手段,未全切患者术后放疗可减少复发率.
목적 총결중추신경세포류림상특점,탐토기치료책략.방법 회고성분석94례중추신경세포류환자림상자료.전부행수술치료,종류전절제66례,근전절제26례,부분절제2례;분석총결중추신경세포류적림상、병리、영상특점.결과 사망2례,수방84례,술후방료56례,종류복발4례.다수환자생존량호.결론 중추신경세포류다발우실간공부근측뇌실계통,수술전절제시최가치료수단,미전절환자술후방료가감소복발솔.
Objective To analyze the clinical characteristics of central neurocytomas,and discuss the therapeutic strategies.Methods 94 cases of central neurocytomas were studied retrospectively.All patients underwent operation with removal of the tumor through either transcallosal or transcortical approach.Total resection was achieved in 66 patients,subtotal resection in 26 patients and partial resection in 2 patients.The clinical,radiological,histologic and immunohistochemical features of these patients were reviewed and analyzed.Methods Amongthe 94 cases of central neurocytomas,two died after surgery.Among the 84 followed- up cases,56 cases underwent postoperative radiotherapy,4 cases had recurrence.Most patients have favorable prognosis.Conclusion Central neurocytomas occur mostly in the lateral ventricle near the Monro's foramen.Total resection is the best treatment.Postoperative radiotherapy for partially removed tumors may reduce the possibility of recurrence.