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颅咽管瘤异位复发的外科治疗。附4例报告。

Surgical treatment of ectopic recurrence of craniopharyngioma. Report of 4 cases.

作者信息

Elliott Robert E, Moshel Yaron A, Wisoff Jeffrey H

机构信息

Department of Neurosurgery, New York University School of Medicine, New York, NY, USA.

出版信息

J Neurosurg Pediatr. 2009 Aug;4(2):105-12. doi: 10.3171/2009.3.PEDS0948.

Abstract

Local recurrence following radical resection is one of the most common complications of pediatric craniopharyngioma. Only 28 cases of ectopic recurrence of craniopharyngioma have been reported in the literature, and only 13 cases occurred in patients originally treated as children. In this consecutive series of 86 children who underwent radical resection of primary and recurrent craniopharyngiomas, 4 patients (4.7%) experienced ectopic tumor recurrence, accounting for 27% of all recurrences after gross-total resection. The authors report on the successful surgical treatment of these 4 patients and the impact of ectopic craniopharyngioma recurrence on survival.

摘要

根治性切除术后局部复发是儿童颅咽管瘤最常见的并发症之一。文献中仅报道了28例颅咽管瘤异位复发病例,其中仅13例发生在最初接受儿童期治疗的患者中。在这组连续的86例接受原发性和复发性颅咽管瘤根治性切除的儿童中,4例(4.7%)出现异位肿瘤复发,占全切除术后所有复发的27%。作者报告了这4例患者的成功手术治疗以及异位颅咽管瘤复发对生存的影响。

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