Shingu Takashi, Akiyama Yasuhiko, Daisu Mitsuhiro, Maruyama Nobuyuki, Matsumoto Yoshifumi, Miyazaki Takeshi, Nagai Hidemasa, Yamamoto Yoshiaki, Yamasaki Toshiki, Yoshida Manabu, Maruyama Riruke, Moritake Kouzo
Department of Neurosurgery, Shimane University School of Medicine, Izumo, Japan.
Neurol Med Chir (Tokyo). 2007 May;47(5):222-8. doi: 10.2176/nmc.47.222.
A 51-year-old woman had been followed up for 10 years for recurrence of pilocytic astrocytoma 5 years after the initial treatment consisting of subtotal resection, chemotherapy, and radiation therapy. The patient presented with sudden onset of headache and vomiting. Computed tomography and T(2)*-weighted magnetic resonance imaging revealed hemorrhage in the tumor located in the right basal ganglia, thalamus, and hypothalamus. She underwent gross total resection of the lesion. Histological examination confirmed recurrent pilocytic astrocytoma with organizing hematoma and granulation tissue. Although neither symptomatic hemorrhage nor late benign recurrence is common, careful long-term follow up is necessary for patients with pilocytic astrocytoma.
一名51岁女性在接受了包括次全切除、化疗和放疗在内的初始治疗5年后，因毛细胞型星形细胞瘤复发接受了10年的随访。患者出现突发头痛和呕吐。计算机断层扫描和T(2)*加权磁共振成像显示位于右侧基底神经节、丘脑和下丘脑的肿瘤内出血。她接受了病变的全切除。组织学检查证实为复发性毛细胞型星形细胞瘤伴机化血肿和肉芽组织。虽然症状性出血和晚期良性复发都不常见，但毛细胞型星形细胞瘤患者仍需进行仔细的长期随访。
