颅内皮样囊肿自发性破裂并广泛播散2例  

Spontaneous rupture and spread of intracranial dermoid cyst: 2 cases report

作　　者：刘海兵 洪景芳 赵琳[1] 王守森[1] Liu Haibing;Hong Jingfang;Zhao Lin;Wang Shousen(Department of Neurosurgery,Fuzhou General Hospital,Fujian Medical University,Fuzhou,Fujian 350025,China)

机构地区：[1]福建医科大学附属解放军福州总医院神经外科,350025

出　　处：《中国微侵袭神经外科杂志》2018年第8期366-368,共3页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的探讨颅内皮样囊肿破裂的临床特点与诊治经验。方法回顾性分析2例皮样囊肿自发破裂并广泛颅内播散的病例资料,将病例的临床、影像学、治疗方法及病理学特点与相关文献结合,并对病例进行跟踪随访。结果 2例病人术后随访2～5年,皮样囊肿均未复发,颅内播散脂粒无增大,无神经功能缺失。结论皮样囊肿属于良性病变,复发率及癌变率极低,癌变后预后极差。皮样囊肿破裂播散的内容物多为无活性物质,但病人必须规律随访。Objective To explore the clinical features and treatment experience of intracranial dermoid cyst rupture. Methods The clinical data of 2 patients with dermoid cyst of spontaneous rupture and intracranial spread extensively were analyzed retrospectively.The clinical applications, imaging, treatment, pathological characteristics and follow-up of 2 patients were combined with related literature. Results After 2 to 5 years of follow-up, the dermoid cyst had no recurrence and the intracranial disseminated lipid granule had no enlargement without loss of nerve function. Conclusions The dermoid cyst is benign tumor. The recurrence rate and canceration rate are very low, but the prognosis is poor after canceration. The content of the rupture of the dermoid cyst should be the inactive substance, but the patients must be followed up regularly.

关 键 词：皮样囊肿 破裂 自发性 颅内播散 良性肿瘤 

分 类 号：R739.41[医药卫生—肿瘤] R730.269[医药卫生—临床医学]