頁籤選單縮合
題名 | Calvarial Ewing's Sarcoma Presented with Increased Intracranial Pressure Signs in an 11-Year-Old Child=顱骨Ewing氏肉瘤的11歲孩童表現出顱內壓升高之症候 |
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作者姓名(中文) | 陳淑美; 雷大雅; 莊啟政; 昝文清; 陳先志; | 書刊名 | 臺灣癌症醫學雜誌 |
卷期 | 26:2 2010.04[民99.04] |
頁次 | 頁72-76 |
分類號 | 417.6265 |
關鍵詞 | Ewing氏肉瘤; 顱骨腫瘤; 緊急顱骨移除外科; 顱內壓升高症候; Ewing's sarcoma; Skull tumor; Emergency craniectomy; Signs of increased intracranial pressure; |
語文 | 英文(English) |
中文摘要 | Ewing 氏肉瘤(Ewing’s sarcoma)最早是在1920 年代由Dr James・Ewing 所命名。它 是兒童和青少年第二常見的惡性骨頭腫瘤,但它通常發生在長的骨頭或骨盆骨中,極少 發生在頭顱骨。本文中,我們報告一個少見的扁平頭顱骨Ewing 氏肉瘤病例,十一歲的 小女孩在受過頭部輕微撞擊後,發現後頭頂部有一腫塊,初期誤以為是頭皮下血腫,一 個月後,病人以顱內壓升高症候為表現,電腦斷層顯示出一個頭頂部顱骨腫瘤併對腦造 成壓迫,因此我們安排緊急的顱骨移除外科手術,術後診斷為扁平頭顱骨Ewing 氏肉瘤 並已肝、肺轉移,雖然經過化學治療最後仍死於多處轉移。頭顱骨Ewing 氏肉瘤病例在 文獻報告上屬於少見,在經過頭部撞擊後,可能加速腦壓過高的表現,而需要緊急開顱手術。 |
英文摘要 | Dr. James Ewing first described Ewing’s sarcoma (ES) in 1921. ES is the second most common primary malignant bone tumor in children and adolescents. ES generally develops in long bones or pelvis and rarely occurs in the calvarial skull. In this article, we describe a female child who suffered from a mild head injury, with signs of increased intracranial pressure developing one month later. ES was found in the parietal skull, and an emergency craniectomy was performed to remove the lesion. Postoperative examinations confirmed the diagnosis of multiple metastatic ES. Finally, the patient died of the progression of multiple metastases. Calvarial ES is rarely reported in the literature. Signs of IICP may become more prominent after a head injury in the case of ES, often leading to an emergent surgical procedure. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。