颞窝骨肉瘤伴出血表现：病例报告
Osteosarcoma of the temporal fossa with hemorrhagic presentation: case report.
作者信息
Alleyne C H, Theodore N, Spetzler R F, Coons S W
机构信息
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
出版信息
Neurosurgery. 2000 Aug;47(2):447-50; discussion 450-1. doi: 10.1097/00006123-200008000-00036.
OBJECTIVE AND IMPORTANCE
Excluding tumors of hematopoietic origin, osteosarcomas are the most common bone tumor, although involvement of the brain or cranial base is rare.
CLINICAL PRESENTATION
A 16-year-old girl with an osteosarcoma of the temporal fossa presented with an intracerebral hemorrhage. The management strategy of this lesion, including the operative interventions, is described.
INTERVENTION
Several modes of treatment were undertaken, including radical resection of the cranial base lesion and excision of the cavernous sinus after a cervical internal carotid artery-to-middle cerebral artery vein bypass graft.
CONCLUSION
The patient was alive and without evidence of disease 11 months after presentation but died shortly thereafter of complications related to adjuvant therapies.
目的与重要性
除造血系统起源的肿瘤外，骨肉瘤是最常见的骨肿瘤，尽管其累及脑或颅底的情况罕见。
临床表现
一名16岁患有颞窝骨肉瘤的女孩出现脑出血。描述了该病变的处理策略，包括手术干预。
干预措施
采取了多种治疗方式，包括颅底病变的根治性切除以及在颈内动脉至大脑中动脉静脉搭桥术后切除海绵窦。
结论
患者在就诊后11个月时存活且无疾病证据，但此后不久因辅助治疗相关并发症死亡。
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