颅内血管外皮细胞瘤的临床诊治(附6例报告及文献复习)  

Diagnosis and treatment of intracranial hemangiopericytoma:report of 6 cases and review of literature

作　　者：肖炳祥[1] 张小征[1] 龚杰[1] 张戈[1] 姚国杰[1] 刘征[1] 黄成[1] 

机构地区：[1]广州军区武汉总医院神经外科,武汉430070

出　　处：《中国临床神经外科杂志》2013年第8期461-464,共4页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨颅内血管外皮细胞瘤的临床特点及其诊断、治疗。方法回顾性分析2006年至2011年收治的6例颅内血管外皮细胞瘤患者的临床资料,并结合相关文献进行分析。结果 6例病人共行手术6次,肿瘤全切除5例,次全切除1例;术后辅助γ刀治疗4例。术后随访12～72个月,平均39个月,1例患者术后16个月原位复发,其余5例随访期间未见肿瘤复发。结论颅内血管外皮细胞瘤有较高的局部复发率,争取手术全切除肿瘤是治疗的关键,并且术后行剂量不高于50Gy的辅助放疗应作为常规的治疗方案。Objective To explore the clinical characteristics, diagnosis and treatment of intracranial hemangiopericytoma （HPC）. Methods The clinical data of 6 patients with intraeranial HPC, who underwent microsurgery from 2006 to 2012, were analyzed retrospectively. The related literatures were reviewed. Results Total resection was achieved in 4 patients and subtotal in 2. Four patients received gamma knife treatment after mierosurgery. All patients were followed up for 12~72 months （mean, 39 months）, and the outcomes showed one patient recurred 16 months after mierosurgery and died and the other 5 patients had no recurrence. Conclusions The first choice of treatment for intraeranial HPC is resection of tumor as much as possible. Regardless of total resection of the tumor, adjuvant radiotherapy and long time follow-up should be recommended for patients with intracranial HPC.

关 键 词：血管外皮细胞瘤 颅内 诊断 治疗 

分 类 号：R739.41[医药卫生—肿瘤]