Sun J, Zhang Q, Bao X
Department of Neurosurgery, Shandong Medical University, Affiliated Hospital, Jinan 250012.
Zhonghua Wai Ke Za Zhi. 1998 Jan;36(1):52-3.
To discuss clinical diagnosis and surgical treatment of intra-medullary epidermoid cyst.
Ten intramedullary epidermoid cysts were confirmed by operatively and pathologically from 1978 to 1995.
The tumors were located in the spinal cord. Clinical presentation of this tumor was not specific. On CT scans, eight tumors were characterized by a homogenous low-density lesion and well-defined limits. They usually did not enhance with contrast medium. On MR imaging, four tumors were characterized by an important variability of signal intensity, well-defined limits. All patients underwent resections of epidermoid cyst, 1 total resection, and 9 subtotal resections. Eight cases were followed up from half a year to seven years. No case recurred.
Total resection of epidermoid cyst is the best choice.
探讨髓内表皮样囊肿的临床诊断及外科治疗。
1978年至1995年经手术及病理证实的髓内表皮样囊肿10例。
肿瘤位于脊髓内。该肿瘤临床表现无特异性。CT扫描显示，8例肿瘤表现为均匀低密度病灶，边界清晰，通常无造影剂增强。磁共振成像显示，4例肿瘤信号强度变化较大，边界清晰。所有患者均接受了表皮样囊肿切除术，1例行全切除，9例行次全切除。8例患者随访半年至7年，无复发病例。
表皮样囊肿全切除是最佳选择。
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