婴儿时期的黑色神经外皮瘤
Jeewanjot S Grewal1, Robert C John
1Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health, Detroit, M.
The Journal of craniofacial surgery
|February 4, 2026
概括
婴儿时期的黑色色神经皮质瘤 (MNTI) 是婴儿的一种罕见的,攻击性的瘤. 迅速的外科切除是防止这种良性但具有破坏性的疾病复发的关键.
科学领域:
- 儿科瘤学 儿科瘤学
- 口腔和牙面部外科手术
- 发展生物学 发展生物学
背景情况:
- 婴儿时期的黑色色神经切皮性瘤 (MNTI) 是一种罕见的,良性的神经脊起源的瘤.
- 它通常影响1岁以下的婴儿,通常在前上部.
- 临床表现可以模仿喷发性囊,延迟诊断.
研究的目的:
- 在婴儿中报告一个MNTI病例.
- 突出诊断挑战和管理策略.
- 强调迅速手术干预的重要性.
主要方法:
- 一名4个月大的男婴出现了快速扩大的上腺胀.
- 诊断评估包括临床评估,放射学和组织病理学.
- 治疗包括在全身麻醉下进行切除活检,以及手术前对尿液中香曼底酸 (VMA) 进行评估.
主要成果:
- 放射图显示了一个扩展性骨解性病变,取代了主要的切口.
- 组织病理学证实了双相细胞群和阳性免疫组织化学标记物 (HMB-45,维丁,细胞克拉) 的MNTI.
- 患者经历了完整的切除,在术后仍然没有复发,VMA水平正常.
结论:
- 虽然MNTI是良性的,但它表现出快速生长和可能造成严重的骨损伤.
- 准确的诊断和完全的外科切除与明确的边缘是防止复发至关重要的.
- 提高临床医生的意识对于管理快速增长的婴儿上质量至关重要.
相关概念视频
Socioemotional Development during Infancy
492
Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
Primary Temperament Types
492
Tumor Immunotherapy
2.0K
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
2.0K
Tumor Progression
7.4K
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
7.4K
The Tumor Microenvironment
7.8K
Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
7.8K
Cancer Stem Cells and Tumor Maintenance
6.0K
Early diagnosis and treatment can often cure cancer. However, even with treatment, residual cells called cancer stem cells (CSC) might remain, often causing tumor recurrence. These cancer stem cells possess the potential for self-renewal and multi-lineage differentiation and are often responsible for the therapeutic resistance displayed in most cancers.
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
6.0K
Loss of Tumor Suppressor Gene Functions
6.1K
Tumor suppressor genes are normal genes that can slow down cell division, repair DNA mistakes, or program the cells for apoptosis in case of irreparable damage. Hence, they play an essential role in preventing the proliferation of damaged cells.
When the tumor suppressor genes develop mutations or are lost, cells start growing out of control, leading to cancer. However, a single functional copy of the tumor suppressor gene is enough for the cells to maintain their normal functions and cell...
When the tumor suppressor genes develop mutations or are lost, cells start growing out of control, leading to cancer. However, a single functional copy of the tumor suppressor gene is enough for the cells to maintain their normal functions and cell...
6.1K


