Shigemori M, Tokunaga T, Miyagi J, Eguchi G, Kuramoto S, Irie K, Morimatsu M
Department of Neurosurgery, Kurume University School of Medicine, Fukuoka.
Neurol Med Chir (Tokyo). 1991 Feb;31(2):96-9. doi: 10.2176/nmc.31.96.
A rare case of coexistent Burkitt-type lymphoma and meningioma associated with an unruptured cerebral aneurysm is presented. A 49-year-old male complaining of headache and right hemiparesis was admitted to our hospital. Neuroradiological examination revealed a multinodular mass in the left frontal convexity and an unruptured cerebral aneurysm at the M1 portion of the left middle cerebral artery. He underwent an operation for tumor removal and aneurysm clipping. Histological examination revealed the tumor to be a typical meningotheliomatous meningioma without malignancy. However, a second operation was necessary for another tumor invading into the left frontal lobe, which proved to be a Burkitt-type lymphoma. The second tumor may have been resulted from irritative effect of the first tumor, but the aneurysm was considered purely coincidental.
本文报告了一例罕见的并存伯基特型淋巴瘤和脑膜瘤并伴有未破裂脑动脉瘤的病例。一名49岁男性因头痛和右侧偏瘫入院。神经放射学检查发现左额叶凸面有一个多结节肿块，左大脑中动脉M1段有一个未破裂的脑动脉瘤。他接受了肿瘤切除和动脉瘤夹闭手术。组织学检查显示肿瘤为典型的无恶性的脑膜内皮型脑膜瘤。然而，由于另一个侵犯左额叶的肿瘤，需要进行第二次手术，结果证实是伯基特型淋巴瘤。第二个肿瘤可能是由第一个肿瘤的刺激作用引起的，但动脉瘤被认为是纯粹的巧合。
