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[小脑血吸虫病的肿瘤样形式:病例报告及肉芽肿测量]

[The tumoral form of cerebellar schistosomiasis: case report and measure of granulomas].

作者信息

Raso Pedro, Tafuri Alexandre, Lopes Ney da Fonseca, Monteiro Eduardo Rossi, Tafuri Wagner Luiz

机构信息

Departamento de Anatomia Patológica e Medicina Legal, Faculdade de Medicina, Universidade Federal de Minas Gerais, Rua Sao Paulo 893, 30170-131 Belo Horizonte, MG.

出版信息

Rev Soc Bras Med Trop. 2006 May-Jun;39(3):283-6. doi: 10.1590/s0037-86822006000300012.

Abstract

An unusual case of the tumoral form of cerebellar Schistosomiasis mansoni, in a 15 year-old male diagnosed by biopsy, with neurological signs and symptoms 60 days prior to surgery. Computerized tomography show a hyperdense expanding lesion located in cerebellum, suggesting glioma. Histopathological examination showed numerous S. mansoni ova involved by granulomatous inflammation in necrotic-exudative phase, located mainly in the internal, granular layer of the cerebellum, creating a pseudotumor in the cerebellar vermis and a recent hemorrhage in the trunk. The areas of granulomas were measured.

摘要

一名15岁男性患曼氏血吸虫病小脑肿瘤型的罕见病例,术前60天出现神经体征和症状,经活检确诊。计算机断层扫描显示小脑有一个高密度的扩张性病变,提示为胶质瘤。组织病理学检查显示,在坏死渗出期,大量曼氏血吸虫卵被肉芽肿性炎症累及,主要位于小脑的内颗粒层,在小脑蚓部形成假肿瘤,在躯干处有近期出血。对肉芽肿区域进行了测量。

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