颅内血管外皮细胞瘤3例临床分析  

Clinical analysis of 3 cases of intracranial hemangiopericytoma

作　　者：霍显浩 王立婷[2] 田继辉[1] 侯乾[3] 

机构地区：[1]宁夏医科大学总医院神经外科,银川750001 [2]宁夏医科大学总医院肝胆外科,银川750001 [3]邢台市人民医院

出　　处：《临床神经外科杂志》2017年第3期232-234,共3页Journal of Clinical Neurosurgery

摘　　要：目的探讨颅内血管外皮瘤的诊断及治疗。方法回顾性分析3例经术后病理证实的颅内血管外皮瘤患者的临床、影像学资料及病理结果,并结合相关文献进行总结。结果颅内血管外皮瘤临床较少见,症状多以头痛为主;MRI可见血管流空影;术后病理检查示CD34(+^+++),EMA(-),Vimentin(+),GFAP(-);需与脑膜瘤鉴别;术后需进行放疗。3例患者均行手术治疗,完整切除肿瘤,于术后1~3个月进行放疗,随访期间未见肿瘤复发、转移。结论颅内血管外皮瘤容易误诊,需根据影像学资料和病史仔细诊断,最终由病理结果确诊,手术切除辅以放疗是首选治疗手段;术后需随访观察肿瘤的复发或转移。Objective To raise the status of diagnosis and treatment of intracranial hemangiopericytoma（HPC）.Methods To analyse the clinical data,imaging data and pathology outcomes of 3 patients who were confirmed of intracranial hemangiopericytoma by pathology.Uniting the data with correlation literature.Results The intracranial hemangiopericytoma is uncommon,the usually symptom is headache,blood flow void exist in MRI,the postoperative pathology shows the CD34 and Vimentin are positive while EMA and GFAP are negative.It is necessary to distinguish with meningioma.All the cases is considered to receive radiotherapy.the tumors of 3 patients were resected completely by operation,radiotherapy was performed in 1 month to 3 months after operation.There were no tumor recurrence and metastasis in followed-up period.Conclusion Intracranial hemangioma is easy to be misdiagnosed.The doctors should diagnose the disease by imaging data and clinical features.The finally outcome is identified by pathology.Resection combined with radiotherapy is the preferred treatment method.The tumor recurrence and metastasis should be observed.

关 键 词：颅内血管外皮细胞瘤 脑膜瘤 病理 治疗 

分 类 号：R739.41[医药卫生—肿瘤]