囊变脑膜瘤9例报告并文献复习  

Report of 9 cases with cystic meningioma and review of the literatures

作　　者：宋毓鸿[1] 赵鹏飞[1] 蔡奋忠[1] 林成达[1] 杨秋雄[1] 林光畴[1] 

机构地区：[1]南京军区福州总医院第一附属医院神经外科,莆田351100

出　　处：《临床神经外科杂志》2013年第2期103-104,共2页Journal of Clinical Neurosurgery

摘　　要：目的探讨囊变脑膜瘤的临床特点和诊治方法。方法回顾分析9例经病理学证实为囊变脑膜瘤患者的临床资料,并结合相关文献进行分析。结果除1例骑跨大脑镰脑膜瘤并侵蚀颅骨患者次全切除,其余8例均术中全切肿瘤;术后无死亡及严重并发症病例;术后随访6月至3年余,复发3例均为非典型囊变脑膜瘤患者。结论囊变脑膜瘤有时易误诊为胶质瘤或转移瘤,病理多为非典型脑膜瘤,恶性度较典型脑膜瘤高,术后易复发,应尽可能全切肿瘤及受累骨质。Objective To discuss the clinical cystic meningiomas. Methods The clinical data features and methods of diagnosis and treatment on of 9 patients with cystic meningioma confirmed by pathology were analyzed retrospectively with the literature reviews. Results Total resection was achieved in 8 patients, subtotal resection in 1 because of cerebral falx meningioma and skull invasion. There were no death and no serious complications. There were 3 patients experienced tumor relapse after the follow-up during 6 months to 3 years, and we found the pathology of them was atypical meningiomas. Conclusions Cystic meningiomas maybe misdiagnosised as glioma or metastasis tumor. Atypical meningiomas account for higher proportion in pathology of cystic meningiomas. Atypical meningiomas has higher malignant degree and easier to be recurred after operation, so we should cut the total tumor and invad bone as possible as we can

关 键 词：脑膜瘤 临床特点 治疗 

分 类 号：R739.41[医药卫生—肿瘤]