Department of Neurosurgery, University of South Florida, Tampa, Florida, USA.
Neurosurgery. 2010 Dec;67(2 Suppl Operative):416-21. doi: 10.1227/NEU.0b013e3181fa265d.
Meckel cave tumors are often asymptomatic and have a sufficiently characteristic magnetic resonance imaging/computed tomography signature that allows treatment/surveillance decisions to be made without biopsy confirmation. Radiographic diagnosis requires the surgeon to be fully aware of the plethora of unusual Meckel cave lesions that mimic benign tumors when they are malignant, inflammatory, or infectious and in need of a completely different and often timely intervention. When such a diagnosis is considered, it behooves the surgeon and benefits the patient to have a percutaneous biopsy technique available.
To use our recent experience with a patient with idiopathic inflammatory sensory neuropathy and another with Meckel cave lymphoma to review the management of tumors of the Meckel cave.
The technique of percutaneous biopsy of Meckel cave tumors through the foramen ovale with biopsy needles is detailed.
Obtaining tissue biopsy percutaneously prevents patients with Meckel cave tumors best treated with nonsurgical management from undergoing open surgical resection with its concomitant morbidity.
Meckel cave 肿瘤通常无症状，且具有足够特征性的磁共振成像/计算机断层扫描特征，可在无需活检确认的情况下做出治疗/监测决策。放射诊断要求外科医生充分了解当 Meckel cave 病变为恶性、炎症或感染且需要完全不同且通常及时干预时，类似于良性肿瘤的多种不寻常病变。当考虑这种诊断时，外科医生有必要并使患者受益于可获得经皮活检技术。
使用我们最近遇到的一例特发性炎症性感觉神经病患者和另一例 Meckel cave 淋巴瘤患者的经验，来回顾 Meckel cave 肿瘤的治疗方法。
详细介绍了经卵圆孔用活检针进行 Meckel cave 肿瘤经皮活检的技术。
经皮获取组织活检可防止 Meckel cave 肿瘤患者接受最佳非手术治疗的患者进行开放性手术切除及其伴随的发病率。
