摘要
目的总结脉络丛肿瘤(CPT)的临床特点和诊治经验。方法本组31例CPT中,28例为脉络丛乳头状瘤,3例为脉络丛癌,全部行显微手术治疗。结果肿瘤全切24例,次全切除6例,大部分切除1例,无手术死亡病例。术后9例患者复查CT示脑积水改善不明显。结论脑积水是CPT的突出表现,与肿瘤大小及性质不一致,手术缓解率不高。虽然脉络丛肿瘤大多为慢性起病,但仍有少数表现为急症。
Objective To summarize the clinical characteristics of choroid plexus tumors and experiences in diagnosing and treating them. Method The clinical data of 31 patients with choroids plexus tumors, of whom, 28 suffered from choroid plexus papillomas and 3 choroid plexus carcinomas, during last 15 years were analyzed retrospectively. Of 31 cases of the tumors, 17 were in the lateral ventricle, 10 in the fourth ventricle, 3 in the third ventricle and 1 was in cerebellar pontine angle, All the patients with choroid plexus tumors underwent microsurgery. Three patients with choroid plexus carcinomas received radiotherapy postoperatively, Results Of 31 patients with choroid plexus the tumors, 24 received total removal of the tumors, 6 subtotal and 1 greatly part, No patients died of the operation. The postoperative CT scan showed that hydrocephlus was insignificantly improved in 9 patients after the operation, Of 19 patients followed up from 6 months to 5 years, 18 recovered well and 1 died of recurrent tumor. Conclusions The hydrocephalus, which is an outstanding feature of the choroid plexus tumors and not related with the tumors sizes or pathological characters, is insignificantly relieved in quite a few patients with choroids plexus tumors after the operation. Although most choroid plexus tumors are chronic, a few ones manifest acute onset.
出处
《中国临床神经外科杂志》
2007年第5期278-280,共3页
Chinese Journal of Clinical Neurosurgery
关键词
脉络丛肿瘤
脉络丛乳头状瘤
脉络丛癌
脑积水
Choroid plexus tumor
Choroid plexus papilloma
Choroid plexus carcinoma
Clinical characteristics
