原发性颅内间变性血管周细胞瘤伴全身多发转移1例  

Primary intracranial anaplastic haemangiopericytomas with systemic multiple metastases:a case report

作　　者：何鹏臣 成刚[1] 蒋涵[2] HE Pengchen;LI Zongping;JIANG Han(Mianyang Central Hospital Affiliated to University of Electronic Science and Technology of China,Mianyang,China)

机构地区：[1]绵阳市中心医院神经外科,绵阳621000 [2]绵阳市中心医院康复医学科

出　　处：《中国神经精神疾病杂志》2023年第4期225-229,共5页Chinese Journal of Nervous and Mental Diseases

基　　金：绵阳市卫建委2021年科研课题(编号:MYWJW003);中心医院院级课题(编号:2021YJ004);绵阳市中心医院孵化课题(编号:2021FH007)。

摘　　要：本文报告1例原发性颅内间变性血管周细胞瘤(haemangiopericytomas,HPC)伴全身多发转移的患者,患者为52岁男性,14年前以头痛起病,头颅磁共振提示后枕叶占位,行开颅病变切除术。术后随访期间发现原位肿瘤多次复发,并伴肝脏、髂骨、胸椎等多处转移。手术全切(gross total resection,GTR)是该病例的主要治疗方式,术后通过多次放疗、介入栓塞、高强度聚焦超声等多种综合治疗方案,使病变得到有效控制。原发性颅内血管周细胞瘤是一种罕见的神经系统肿瘤,间变性HPC具有高复发及颅内外转移的特点,综合性治疗是主要手段。This article reports a case of primary intracranial anaplastic hemangiopericytoma with multiple systemic metastases.The patient initially presented with headaches and magnetic resonance imaging of the head revealed a mass in the occipital lobe.The patient underwent a craniotomy for lesion resection at our hospital.During the follow-up period,recurrent tumors were found at the original site,accompanied by multiple metastases in the liver,iliac bone,thoracic vertebrae,and other areas.Gross total resection(GTR)was the primary treatment modality for this case.A variety of comprehensive treatment options such as multiple radiotherapy sessions,interventional embolization,high-intensity focused ultrasound were used to effectively control the lesions after surgery.Primary intracranial hemangiopericytoma(HPC)is a rare type of nervous system tumor.Anaplastic HPCs have a high recurrence rate and the ability to metastasize both inside and outside of the skull,and comprehensive treatment is the main approach.

关 键 词：原发性颅内血管周细胞瘤 脑膜瘤 转移 高强度聚焦超声 综合治疗 

分 类 号：R651.4[医药卫生—外科学]