Walid Mohammad Sami, Troup Earl Christopher
Medical Center of Central Georgia, 840 Pine Street, Macon, GA 31201, USA.
J Neurooncol. 2008 Aug;89(1):59-62. doi: 10.1007/s11060-008-9583-8. Epub 2008 Apr 15.
Ollier Disease is a sporadic skeletal disorder with a predisposition to oncogenesis. It is estimated at around 1/100,000. We are presenting a young patient with Ollier Disease and high-grade astrocytoma.
A 14-year-old, Caucasian male with Ollier Disease presented with a history of headaches, vomiting, blurred vision, and unsteady gait. Brain MRI with contrast showed a 41 x 55 mm mass in the posterior fossa with spotty enhancement, which pathology proved to be anaplastic astrocytoma.
Despite the universal acceptance that Ollier Disease carries a high risk of developing malignancy there is very little in the literature about systematic screening. We recommended a cost-effective screening regime for these patients.
骨软骨瘤病是一种易发生肿瘤的散发性骨骼疾病。其发病率估计约为十万分之一。我们报告一例患有骨软骨瘤病并伴有高级别星形细胞瘤的年轻患者。
一名14岁的患有骨软骨瘤病的白种男性,有头痛、呕吐、视力模糊和步态不稳的病史。增强脑磁共振成像显示后颅窝有一个41×55毫米的肿块,有斑点状强化,病理证实为间变性星形细胞瘤。
尽管普遍认为骨软骨瘤病发生恶性肿瘤的风险很高,但文献中关于系统筛查的内容却很少。我们建议为这些患者制定一种经济有效的筛查方案。