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題 名 | 頸椎啞鈴狀原始神經外胚層腫瘤--病例報告=Dumbbell-shape Primitive Neuroectodermal Tumor of Cervical Spine: A Case Report |
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作 者 | 林昭智; 夏中慶; 林致穎; | 書刊名 | 北市醫學雜誌 |
卷 期 | 12:1 2015.03[民104.03] |
頁 次 | 頁83-89 |
分類號 | 416.61 |
關鍵詞 | 尤文氏肉瘤; 原始神經外胚層腫瘤; 啞鈴狀; 脊椎; Ewing sarcoma; Primitive neuroectodermal tumor; Dumbbell; Spinal; |
語 文 | 中文(Chinese) |
中文摘要 | 尤文氏肉瘤(Ewing sarcoma)/原始神經外胚層腫瘤(primitive neuroectodermal tumor)為罕見腫瘤,此腫瘤之臨床表現極為惡性且進展迅速,此病例為一位45歲女性,主訴為頸部及左上肢疼痛六個月,頸部磁振造影顯示啞鈴狀腫瘤源自第五六七頸椎椎孔內,並突出於神經孔外,合併神經侵犯,病人接受腫瘤次全切除手術,檢體病理報告為原始神經外胚層腫瘤,後續病人接受放射治療,在診斷後第六個月因為頭部外傷導致顱內出血而死亡,在此進行病例報告與相關之文獻回顧。 |
英文摘要 | Ewing sarcoma/primitive neuroectodermal tumor (PNET) is an unusual malignancy with aggressive behavior. We report a 45-year-old woman presented with 6-month history of neck and left upper limb pain. Magnetic resonance images of the C-spine revealed a left-sided dumbbell-shaped intra-extra spinal tumor at C5-7 level. We performed a subtotal excision of the tumor and a dark reddish tumor of soft consistency was found in left C5, 6, and 7 nerve roots with communicating intraspinal component via foramen. Pathological report revealed a PNET with CD56, CD99 and Vimentin stain positive. Patient symptoms improved after surgery. The patient underwent radiotherapy postoperatively. Unfortunately, she expired at the 6th month after surgery because of traumatic intracerebral hemorrhage. |
本系統中英文摘要資訊取自各篇刊載內容。