Lejeune J-P, Reyns N, Baroncini M, Peltier J, Le Gars D
Clinique de neurochirurgie, hôpital Roger-Salengro, rue Émile-Laine, CHRU de Lille, 59037 Lille cedex, France.
Neurochirurgie. 2011 Sep-Dec;57(4-6):206-9. doi: 10.1016/j.neuchi.2011.09.022. Epub 2011 Oct 24.
Twenty-seven cases of ependymoma were collected in the French multicentric study dedicated to lateral ventricle tumors. The mean age of patients was 31,5 years. All patients underwent surgery, with complete resection of the tumor in 76% of cases. Histologic examination disclosed 23 grade 2 ependymomas and four grade 3 ependymomas. Postoperative mortality was 7%. Four patients underwent radiotherapy, and five chemotherapy. Local recurrence of the tumor occurred in seven cases, with a mean delay of 48 months. Disseminated disease within the central nervous system was found in only one patient. Median survival in all the 27 patients was 181 months, and median progression-free survival was 106 months. The relevant series of the literature are reviewed in order to precise the prognostic factors of ependymomas and therapeutic strategies.
在一项针对侧脑室肿瘤的法国多中心研究中,收集了27例室管膜瘤病例。患者的平均年龄为31.5岁。所有患者均接受了手术,76%的病例实现了肿瘤全切。组织学检查显示有23例2级室管膜瘤和4例3级室管膜瘤。术后死亡率为7%。4例患者接受了放疗,5例接受了化疗。7例出现肿瘤局部复发,平均间隔时间为48个月。仅1例患者出现中枢神经系统播散性病变。27例患者的中位生存期为181个月,无进展生存期的中位数为106个月。为明确室管膜瘤的预后因素和治疗策略,对相关文献系列进行了综述。