转移性脑膜瘤:一个病例系列和系统审查
Vratko Himič1,2, Richard J Burman1,2, Daniel M Fountain1,3
1Department of Neurosurgery, John Radcliffe Hospital, University of Oxford, Oxford, UK.
Acta neurochirurgica
|July 26, 2023
概括
转移性脑膜瘤很少见,但构成重大挑战. 这项研究审查了155个病例,发现肺转移常见和男性性别/高瘤等级的危险因素,但有效的治疗仍然难以捉摸.
科学领域:
- 神经外科 神经外科
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 脑膜瘤是最常见的初级内瘤,大多数是良性的.
- 脑膜瘤的脑外转移是一种罕见但显著的临床事件.
- 全球需要对转移性脑膜瘤有全面的了解.
研究的目的:
- 审查转移性脑膜瘤的机构经验.
- 系统地审查有关转移性脑膜瘤的现有文献.
- 探索转移性脑膜瘤的共同特征,危险因素和治疗疗效.
主要方法:
- 在该机构对6名成年患有转移性脑膜瘤的患者进行了回顾性审查.
- 对149例转移性脑膜瘤病例 (1886-2022) 的系统文献综述.
- 从1979年开始对数据进行描述性分析,重点关注瘤等级,位置和转移特征.
主要成果:
- 分析了155例病例,54%的原发性瘤位于凸度.
- 肺部是转移最常见的部位.
- 男性性别和高初始瘤度是转移时间较短的风险因素;化疗是最常见的辅助治疗,但没有确定有效的治疗方法.
结论:
- 转移性脑膜瘤在神经外科手术中是一个被低估的挑战.
- 及时识别和进一步研究机制和基因组目标对于改善管理至关重要.
- 需要就查和管理协议达成共识,可能涉及基因组和表观基因组方法.
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