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題名 | Intraventricular Oligodendroglionas: Their Different Clinical Presentations and Outcomes from Parenchymal Oligodendrogliomas=腦室內寡樹突膠質瘤 |
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作 者 | 邱琮朗; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 24:3 民80.05-06 |
頁次 | 頁681-686 |
分類號 | 416.291 |
關鍵詞 | 腦室內寡樹突膠質瘤; |
語文 | 英文(English) |
中文摘要 | 腦室內寡樹突膠質瘤為一罕見的腦瘤且與腦實質寡樹突膠質瘤有許多不同點。本文提出及討論五個腦室內寡樹突腦質瘤病例。在五個病例中,產生症狀之平均年齡為22.2歲,從出現症狀至疾病診斷之平均期間為6.2月,而最常見之症狀都與顱內壓增加相關,包括頭痛、嘔吐及視乳頭水腫。五例術前皆接受頭部電腦斷層檢查,而手術後有四人接受斷層檢查並繼續於門診追蹤。所有病人皆接受從額部經由腦室之途徑將腦瘤切除。手術之結果有一例為次全切除,其餘四例為全切除或近全切除。除一例死亡外,追蹤檢查之期間由0.6年至5.7年,平均為4.2年。其中二例得到很好之結果,一例有右側肢體輕癱,另一例有構音果難及右側肢體輕癱。在文章中,我們討論腦室內寡樹突膠質瘤電腦斷層之特點並與曾經報告過之病例作比較;也討論腦室內寡樹突膠質瘤之手術方法與預後之關連。 |
英文摘要 | Intraventricular oligodendrogliomas (IVOs) are uncommon and differ from parenchymal oligodendrogliomas in many ways. Five cases of IVOs are presented in this report. The ages of onset of symtoms ranged from 16 to 24 years with a mean of 22.2 years. The durations of symptoms prior to diagnosis ranged from 2 days to 12 months with a mean of 6.2 months. The most common symptoms and signs in this series were related to the increasedly intracranial pressure including headache, vomiting, and papilledema. Preoperative CT scans were obtained in all the five cases and postoperative CT scans in four cases. All cases received surgical treatments by the frontal transventricular approach. The subtotal removal of the tumor was achieved in one case and the total or near total removal in the other four. The characteristics of CT scans of IVOs are presented and compared with those previously reported in the literature. Factors affectting the surgical outcome of IVOs are also discussed. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。