Reddy Rajesh, Krishna Vamsi, Sahu Barada Prasad, Uppin Megha, Sundaram Challa
Nizam's Institute of Medical Sciences, Department of Neurosurgery, Hyderabad, Andhra Pradesh, India.
Turk Neurosurg. 2012;22(6):791-4. doi: 10.5137/1019-5149.JTN.4322-11.1.
Primary melanocytic tumors of the central nervous system are rare. In this article the authors describe a case of C1C2 intradural extramedullary melanocytoma in a 43-year-old patient who presented with neck pain. C1-3 laminectomy was performed followed by excision of the lesion and an adjoining satellite nodule, along with the dural attachment. The histopathological features were consistent with a meningeal melanocytoma despite the presence of a satellite nodule. The patient has no evidence of recurrence during the six month follow up period. A brief review of literature pertaining to the radiological features, pathological findings, management and prognosis of this rare tumor is discussed.
中枢神经系统原发性黑素细胞肿瘤较为罕见。在本文中,作者描述了一例43岁因颈部疼痛就诊的患者,其C1 - C2节段硬脊膜内髓外黑素细胞瘤。实施了C1 - 3椎板切除术,随后切除病变及一个毗邻的卫星结节,连同硬脑膜附着处一并切除。尽管存在卫星结节,但组织病理学特征符合脑膜黑素细胞瘤。在六个月的随访期内,患者无复发迹象。本文还简要回顾了有关这种罕见肿瘤的放射学特征、病理结果、治疗及预后的文献。