Furuse M, Miyatake S-I, Kuroiwa T
Department of Neurosurgery, Osaka Medical College, Osaka, Japan.
Acta Neurochir (Wien). 2005 Oct;147(10):1097-101; discussion 1101. doi: 10.1007/s00701-005-0579-2. Epub 2005 Jul 15.
Radiation-induced cavernous malformations are rarely reported, and most cases have been children. We describe two adult patients with cavernous malformation after irradiation for astrocytoma. Magnetic resonance (MR) imaging, at their ages of 53 years, showed a cavernous malformation in the irradiated field 26 and 10 years after resection and irradiation, respectively. Cavernous malformations were confirmed by the histopathological examination in the both cases. Radiation-induced cavernous malformations are rare in adult patients with astrocytoma. One reason why we found two such cases was that these patients had been successfully treated for astrocytoma and had long follow-up periods.
放射性海绵状血管瘤鲜有报道,且大多数病例为儿童。我们描述了两名成年患者,他们在接受星形细胞瘤放疗后出现了海绵状血管瘤。两名患者年龄分别为53岁,磁共振成像(MR)显示,在切除和放疗后分别于26年和10年在放疗区域出现了海绵状血管瘤。两例均经组织病理学检查确诊为海绵状血管瘤。放射性海绵状血管瘤在成年星形细胞瘤患者中罕见。我们发现两例这种情况的一个原因是这些患者的星形细胞瘤得到了成功治疗且随访期较长。