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成人原发性小脑多形性胶质母细胞瘤的回顾性研究。

A retrospective study of primary cerebellar glioblastoma multiforme in adults.

机构信息

Department of Neurosurgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Medical College PO, Trivandrum 695011, India.

出版信息

J Clin Neurosci. 2012 Dec;19(12):1684-8. doi: 10.1016/j.jocn.2011.12.035. Epub 2012 Oct 16.

Abstract

Primary cerebellar glioblastoma multiforme (GBM) is a rare tumour in adults that accounts for less than 1% of all patients with GBM. In view of their rarity, the pathogenesis and prognosis of cerebellar GBM are not yet completely understood. The aim of this study was to retrospectively analyse patients with primary cerebellar GBM treated in our institute over a period of 10 years. Data from the case records of five adult patients with cerebellar GBM was evaluated and their outcome was assessed. We observed local failure in patients who reported back with recurrence. The presence of brainstem infiltration was a significant factor influencing progression-free survival. The overall prognosis was worse than for patients with supratentorial GBM. In view of their rarity, a meta-analysis is required to assess the pathogenesis and prognostic factors affecting overall survival in patients with cerebellar GBM.

摘要

成人原发性小脑胶质母细胞瘤(GBM)较为罕见,占所有 GBM 患者的比例不足 1%。鉴于其罕见性,小脑 GBM 的发病机制和预后尚不完全清楚。本研究旨在回顾性分析我院 10 年间收治的原发性小脑 GBM 患者。评估了 5 例成人小脑 GBM 患者的病例记录数据,并对其结果进行了评估。我们观察到有复发症状的患者出现局部失败。脑干浸润的存在是影响无进展生存期的显著因素。总体预后比幕上 GBM 患者差。鉴于其罕见性,需要进行荟萃分析以评估影响小脑 GBM 患者总生存期的发病机制和预后因素。

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