小儿复发性星形细胞瘤的临床研究  

Clinical study of recurrent astrocytic tumor in children

作　　者：陶红兵[1] 袁先厚[1] 袁忠惠[1] 

机构地区：[1]武汉大学中南医院神经外科,430071

出　　处：《临床外科杂志》2004年第5期291-292,共2页Journal of Clinical Surgery

摘　　要：目的　探讨儿童星形细胞瘤的复发与肿瘤的组织学类型、肿瘤部位及手术的关系。方法　对 2 6例小儿复发性星形细胞瘤两次手术的临床资料和病理特点进行对比分析。结果　幕下星形细胞瘤 14例 ,第一次手术时为良性和亚良性星形细胞瘤 ,复发时恶性程度均未增加 ,复发与手术时肿瘤的切除程度有关。幕上星形细胞瘤 12例 ,第一次手术时 ,恶性胶质瘤 2例 ,复发时恶性程度增加 6例 ,复发与肿瘤的病理类型和手术时肿瘤切除程度有关。结论　幕下星形细胞瘤的复发主要决定于手术时肿瘤切除程度 ,幕上的肿瘤的复发与手术有关外 。Objective To explore the relationship among the recurrence and histological types and tumor sites in intracranial astrocytoma of children.Methods The clinical and pathological data of 26 cases of recurrent astrocytoma in children were analyzed.Results Fourteen cases in the infratentorium were benign astrocytome and their malignancy was not increased during second operation.The recurrence was associated with the range of resection.In 12 cases of astrocytome in the supratentorium,there were 2 cases of malignant glioma on the first operation,and there were other 6 cases of progressive malignancy in recurrence.The histological types and degree of resection were involved in the recurrence.Conclusion The astrocytoma prognosis in the infratentorium is related to the degree of resection and the prognosis in the supratentorium is related to both pathological types of glioma and degree of resection.

关 键 词：颅内星形细胞瘤 复发 组织学类型 儿童 

分 类 号：R739.4[医药卫生—肿瘤]