重复的儿科后形形形瘤经过多次切除治疗:一个说明性的案例
Toshihiro Kumabe1, Madoka Inukai1, Sumito Sato1
1Department of Neurosurgery, Kitasato University School of Medicine, Sagamihara, Kanagawa.
Journal of neurosurgery. Case lessons
|January 22, 2026
概括
针对儿科复发性膜瘤的侵袭性手术切除可以实现长期的局部控制. 然而,持续的生存取决于瘤在多次手术后仍然可以切除.
科学领域:
- 儿科神经外科 儿科神经外科
- 神经瘤学神经瘤学
- 手术瘤学手术瘤学
背景情况:
- 最大限度的安全切除对于表膜瘤管理至关重要.
- 儿科复发性膜瘤带来了独特的外科手术挑战.
- 这一案例凸显了在侵袭性瘤中手术干预的局限性.
研究的目的:
- 为了评估反复复发的后腔形表膜瘤的重复手术切除的疗效和局限性.
- 评估通过积极的手术管理可以实现的局部控制的持续时间.
- 了解儿科内膜瘤复发和再生长的模式.
主要方法:
- 一个案例报告,一个男孩患有后形形尾瘤,经历了18次切除.
- 专注于在每个手术阶段实现没有总切除 (GTR) 或没有残留瘤.
- 在16年的时间内监测局部控制,复发模式和并发症.
主要成果:
- 在初始切除以GTR为目标后,实现了8年8个月的仅进行手术的局部控制.
- 随后的切除显示了不可避免的残留瘤,从各种地点复发.
- 在18次手术中没有发生任何传染性并发症;瘤最终进展到脑干参与.
结论:
- 没有残留瘤的重复手术可能有助于长期的生存.
- 持久的生存取决于复发瘤的持续切除能力.
- 这一案例强调了在瘤生物学和位置的范围内采取积极的外科手术策略的重要性.
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