摘要
目的评估颅内血管外皮细胞瘤(HPC)全切除和辅助放疗的效果。方法通过对2006-01—2014-12我院17例颅内HPC病例回顾性研究,分析其临床表现、病理学特征、影像学表现、治疗效果和随访结果。结果患者确诊年龄在19~71(46.2±9.3)岁,男12例(70.6%),女5例(29.4%)。大部分肿瘤位于矢状窦旁和大脑镰旁。17例均行开颅手术,其中全切10例(58.8%),近全切7例(41.2%),12例(70.1%)接受术后辅助放疗。术后随访12~106(69.18±5.72)个月。局部复发率41.2%(6/17),无远处转移。结论对于初次手术患者,要尽量做到全切肿瘤,术后辅助放疗能降低血管外皮瘤局部复发率。
Objective To evaluate the efficacy of total resection and adjuvant radiotherapy for intracranial hemangiopericytomas（HPC）.Methods A total of 17 patients with intracranial HPC from January 2006 to December 2014 were included in this retrospective study.We analyzed the clinical presentations,clinical pathological data,imaging features,treatment efficacy and follow-up outcomes.Results The ages of the patients at the time of diagnosis ranged from 19 to 71years old（46.2±9.3）.Twelve of the patients were male（70.6%）and the other 5patients were female（29.4%）.The majority of the tumors were located in the parasagittal and cerebral falx.A grossly total resection was achieved in 10cases（58.8%）and partial resection in 7cases（41.2%）.Thirteen patients（70.1%）underwent postoperative adjuvant radiotherapy.Follow-up period after operation ranged from 12 to 106months（69.18±5.72）.The local recurrence rate was 35.3%（6/17）,and there were no distant metastases.Conclusion Grossly total tumor resection for patients receiving initial surgeries is very necessary,and adjuvant radiotherapy can reduce the local recurrence rate of HPC Patients.
出处
《中国实用神经疾病杂志》
2017年第2期8-12,共5页
Chinese Journal of Practical Nervous Diseases
关键词
血管外皮瘤
辅助放疗
病理学
预后
Intracranial hemangiopericytoma
Adjuvant radiotherapy
Pathology
Prognosis
