CAJ | 학술논문

目的综述中枢神经细胞瘤研究进展,以提高对本病的认识与诊疗水平.方法对中枢神经细胞瘤组织病理学、临床表现、神经影像学与诊断、治疗进行分析、整理和归纳.结果中枢神经细胞瘤好发于侧脑室内,多起自透明隔或脑室室壁,好发于青壮年人群.根据CT扫描,MRI诊断,脑血管造影可对其进行神经影像学诊断.治疗方法包括手术治疗、放疗和化疗.结论中枢神经细胞瘤是一种倾向于良性的肿瘤,最终确诊需依靠影像学诊断,电镜和免疫组化检查,并结合病变部位、形态、影像学特征、发病年龄进行鉴别,为临床提供早期诊断信息.绝大多数患者可通过肿瘤全切达到治愈,对于少数肿瘤全切后恶化或复发的患者,预后较差,应给予放疗或化疗给予辅助.
목적 종술중추신경세포류연구진전,이제고대본병적인식여진료수평.방법 대중추신경세포류조직병이학、림상표현、신경영상학여진단、치료진행분석、정리화귀납.결과 중추신경세포류호발우측뇌실내,다기자투명격혹뇌실실벽,호발우청장년인군.근거CT소묘,MRI진단,뇌혈관조영가대기진행신경영상학진단.치료방법포괄수술치료、방료화화료.결론 중추신경세포류시일충경향우량성적종류,최종학진수의고영상학진단,전경화면역조화검사,병결합병변부위、형태、영상학특정、발병년령진행감별,위림상제공조기진단신식.절대다수환자가통과종류전절체도치유,대우소수종류전절후악화혹복발적환자,예후교차,응급여방료혹화료급여보조.
Objective To Summarize the progress of central neurocytoma,in order to improve recognition and diagnostic level for better prognosis in central neurocytoma.Methods Clinical manifestation,neuroimaging and diagnosis,treatment of central neurocytoma were analyzed,collated and summarized.Results Glaucoma intraocular pressure lowering drugs can be divided into cholinergic,sympathomimetics,adrenergic receptor blockers,topical carbonic anhydrase inhibitors of prostaglandin analogs.Central neurocytoma occurs in the lateral ventricles which is original from septum pellucidum or the ventricle wall.It occurs in the young and middle-aged adults.According to CT scanning,MRI diagnosis,cerebral angiography may carry on the neural imaging diagnosis.Treatment methods include treatment of operation,radiotherapy and chemotherapy.Conclusions Central neurocytoma is tend to benign tumor.The final diagnosis depends on diagnostic imaging,electron microscopic and immunohistochemical examination,in combination with the lesion site,morphology,imaging characteristics,age of onset for identification.The vast majority of patients can be cured by total tumor resection,while adjuvant radiotherapy should be given when aggravation or recurrence after total tumor resection.