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内外脊髓恶性脊髓瘤治疗通过皮肤成像引导的冷移除

Patrick E Sewell¹, Miguel Carillo², Manuel Ramiriz³

¹Interventional Oncology, Minimally Invasive Surgery, Radiologica Centro de Diagnóstico por Imagen, Monterrey, MEX.

|January 1, 2026

概括

一种罕见的恶性瘤与瘤转变导致尾巴马体综合征被成功地用CT引导的冷化治疗. 这种创新治疗导致了医生患者的瘤彻底根除和显著的神经恢复.

科学领域:

神经外科神经外科
在瘤学瘤学.
放射学放射学是一门学科.

背景情况:

一个63岁的男性呈现出尾巴马体综合征,原因是L4处的内外脊髓瘤.
该患者经历了严重的神经缺陷,包括和肠/膀功能障碍,需要使用轮椅和高剂量的止痛药.

研究的目的:

报告一种罕见的恶性瘤与肉瘤转变的病例.
为了评估CT指导的皮肤间冷化在治疗复杂病理的复发性脊髓瘤的疗效.

主要方法:

最初的瘤切除,其次是相互矛盾的细胞病理学诊断.
化学疗法和脊髓动脉免疫疗法为复发性疾病进行栓塞,这两种疗法都失败了.
作为最终治疗方式,CT引导的皮肤化.

主要成果:

在多次活检后,最终诊断出恶性瘤与瘤转变的最终诊断.
传统治疗 (化疗,栓塞) 对瘤复发的失败.
通过CT指导的冷处理实现了完全的瘤根除,没有剩余的可活性瘤.

结论:

通过CT指导的皮肤化可能是挑战脊髓瘤的治疗选择,包括具有肉瘤转变的恶性瘤.
患者经历了显著的神经恢复,成为无疼痛,门诊,并恢复一些肠道功能一个年后cryoablation.
这一案例凸显了冷化在治疗侵袭性和复发性脊髓瘤方面的潜力.

关键词:

结冷除法结冷除结冷除额外的骨质突发性内注射内注射内注射肉瘤肉瘤是一种肉瘤.一个特拉托马体.

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