Nagulić M, Prstojević B, Simić R, Majstorović B, Nikolić I
Institute of Neurosurgery Clinical Center of Serbia; Belgrade, Serbia -
Neuroradiol J. 2007 Dec 31;20(6):699-703. doi: 10.1177/197140090702000614.
Since the introduction of non-invasive imaging techniques (CT, US, MRI), super selective cerebrospinal angiography has been playing a major role as a diagnostic tool as well as a therapeutic procedure prior to surgery or as an alternative. Surgical neuroangiography is currently a well-established therapeutic technique in neuropediatrics even in newborns or infants with vascular lesions in different parts of the body. Rhabdomyosarcoma is a malignant solid tumor arising from mesenchymal tissue that primarily affects children. We describe the procedure used to treat a large vascularized orbital rhabdomyosarcoma in a 38-day-old infant with application of partial tumor vascular bed embolization via external carotid end internal maxillary artery using PVA particles prior to gross excisional biopsy. We stress the significance of the preoperative embolization in infants with large highly vascularized tumor in order to reduce surgical blood loss and increase the probability of maximum lesion resection.
自从引入非侵入性成像技术（CT、超声、MRI）以来，超选择性脑脊髓血管造影作为一种诊断工具以及手术前的治疗手段或替代方法，一直发挥着重要作用。手术神经血管造影目前在小儿神经科是一种成熟的治疗技术，即使对于身体不同部位有血管病变的新生儿或婴儿也是如此。横纹肌肉瘤是一种起源于间叶组织的恶性实体瘤，主要影响儿童。我们描述了在一名38天大的婴儿中治疗大型血管化眼眶横纹肌肉瘤的过程，即在大体切除活检前，通过颈外动脉和上颌内动脉使用聚乙烯醇（PVA）颗粒进行部分肿瘤血管床栓塞。我们强调术前栓塞对于患有大型高度血管化肿瘤的婴儿的重要性，以减少手术失血并提高最大程度切除病变的可能性。
