Utsunomiya A, Uenohara H, Suzuki S, Nishimura S, Nishino A, Arai H, Sakurai Y, Suzuki H
Department of Neurosurgery, Sendai National Hospital, 2-8-8 Miyagino, Miyagino-ku, Sendai 983-1111, Japan.
No To Shinkei. 2001 Aug;53(8):747-51.
A 31-year-old female developed the anaplastic astrocytoma in the right basal ganglia and temporal lobe 8 years after partial resection and irradiation of the central neurocytoma. Probably the malignant astrocytoma was an irradiation-induced tumor. Postoperative radiation therapy for the central neurocytoma appears to have a good effect on tumor local control. But it should be carefully decided whether to use radiation therapy for residual tumor because of the risk of delayed complications of irradiation, such as the present case.
一名31岁女性在中枢神经细胞瘤部分切除并放疗8年后,右侧基底神经节和颞叶出现间变性星形细胞瘤。恶性星形细胞瘤可能是放疗诱发的肿瘤。中枢神经细胞瘤术后放疗对肿瘤局部控制似乎有良好效果。但由于存在放疗延迟并发症的风险,如本病例,对于残留肿瘤是否使用放疗应谨慎决定。