CAJ | 학술논문

目的：报告一例手术后经病理证实为少突胶质细胞瘤合并血管畸形的患者，综合国内外相关文献进行讨论，以提高对此类疾病的认识。方法：回顾本例少突胶质细胞瘤合并血管畸形的患者的临床资料，并结合相关文献对其临床表现、影像学特点及诊治进行探讨。结果：患者术前诊断为颅内占位性病变（少突胶质细胞瘤可能性大），头颅MRI提示右侧顶枕叶见团块状稍长T1、长T2信号灶，边界欠清，增强町见少许片条状强化；MPA未见异常血管团影。术中见病变组织近右顶枕叶呈血管团状，紫红色，与周围组织分界清楚，切除病变组织后，其下可见鱼肉样异常组织，一并切除送病检，病理诊断为少突胶质细胞瘤（WHOⅡ-Ⅲ级）合并血管畸形。结论：少突胶质细胞瘤合并血管畸形极为罕见，术前容易漏诊血管畸形，脑血管造影有助于诊断，降低手术风险，确诊依赖于病理证实。
목적：보고일례수술후경병리증실위소돌효질세포류합병혈관기형적환자，종합국내외상관문헌진행토론，이제고대차류질병적인식。방법：회고본례소돌효질세포류합병혈관기형적환자적림상자료，병결합상관문헌대기림상표현、영상학특점급진치진행탐토。결과：환자술전진단위로내점위성병변（소돌효질세포류가능성대），두로MRI제시우측정침협견단괴상초장T1、장T2신호조，변계흠청，증강정견소허편조상강화；MPA미견이상혈관단영。술중견병변조직근우정침협정혈관단상，자홍색，여주위조직분계청초，절제병변조직후，기하가견어육양이상조직，일병절제송병검，병리진단위소돌효질세포류（WHOⅡ-Ⅲ급）합병혈관기형。결론：소돌효질세포류합병혈관기형겁위한견，술전용역루진혈관기형，뇌혈관조영유조우진단，강저수술풍험，학진의뢰우병리증실。
Objective:To enhance the understanding of such disease by reporting of one ease of a oligodendroglioma with an arteriovenous malformation and review of literature. Methods: The clinical data of this patient in our hospital was analyzed retrospectively. The literatures related to such disease were reviewed, The clinical manifestations, imaging findings and the mechanism of the disease were discussed. Results: The patient diagnosed as intracranial space - occupying lesious,the MRI showed that slightly longer T1 and long T2 signal foci at right side of the parietal and occipital lobe,the boundaries of the lesions were less clear and they were slightly enhanced. MRA showed no abnormal vessels. They were seen during the surgery that the lesions looked purple vascular lumps, their borders were clear. Conclusion:The case of a oligodendroglioma with an arteriovenous malformation is extremely rare, the arteriovenous malformation are easily missed preoperatively, so the cerebral angiography can be help to diagtosis and to reduce the risk of surgery.