非松果体区生殖细胞瘤误诊12例分析  

Analysis of Misdiagnosis of 12 Patients with Non-pineal Region Germinomas

作　　者：王诚[1] 袁波[2] 刘胜[1] 陈坚[3] 袁先厚[4] 郝建中[1] 郭强[1] 刘宏斌[1] 齐辉[1] 尹卫[1] 

机构地区：[1]北京大学深圳医院神经外科,深圳518036 [2]北京大学深圳医院神经内科 [3]武汉大学人民医院神经外科 [4]武汉大学中南医院神经外科

出　　处：《中国误诊学杂志》2002年第4期522-524,共3页Chinese Journal of Misdiagnostics

摘　　要：目的　为降低非松果体区生殖细胞瘤的误诊率。方法　对近 5 a来误诊的非松果体区生殖细胞瘤 12例的临床资料加以总结。结果　 5例误诊为颅咽管瘤 ,3例误诊为垂体瘤 ,3例误诊为胶质瘤 ,1例误诊为转移瘤。结论　凡年龄在 13岁左右的患儿 ,如出现尿崩症或一侧肢体乏力 ,应考虑本症可能 ;如进一步发现松果体区病灶 ,即可确诊 ;Objective To lower the rate of misdiagnosis of non pineal region germinomas.Methods The clinical data of 12 cases of non pineal region germinomas which were misdiagnosed were analysed.Results 5 cases were misdiagnosed as craniopharyngioma,3 as pituitary adenoma,3 as gliomasm and 1 as metastatic brain tumor.Conclusions If apperadiabetes insipidus or extremity weakness turned up and the patients were at the age of 13, non pineal region germinomas should be considered, and if focus was found in pineal region, the diagnosis of this disease should be made. Experimental radiotherapy could be performed if necessary.

关 键 词：非松果体区生殖细胞瘤 脑肿瘤 生殖细胞瘤 误诊 原因分析 

分 类 号：R739.41[医药卫生—肿瘤]