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经鼻内镜治疗侵犯海绵窦和颞叶的大型斜坡巨细胞瘤。

Endoscopic endonasal treatment of a large clival giant cell tumor invading the cavernous sinus and temporal lobe.

作者信息

Yildirim Ali Erdem, Divanlioglu Denizhan, Cetinalp Nuri Eralp, Ozhamam Esra, Belen Ahmed Deniz

机构信息

From the Departments of *Neurosurgery, and †Pathology, Ankara Numune Research and Education Hospital, Ankara, Turkey.

出版信息

J Craniofac Surg. 2014 Mar;25(2):446-8. doi: 10.1097/SCS.0000000000000485.

Abstract

Giant cell tumors (GCTs) are extremely rare lesions, representing less than 5% of all bone tumors. They primarily occur in the long bones. However, a small percentage of these tumors occur in the pelvis, spine, or skull bones. These lesions are usually benign as well as locally aggressive and require complete removal. Nowadays, GCT and other skull base lesions can be treated using the extended endoscopic endonasal approach. We present a case report of a GCT located in the skull base, originating from the clivus and sphenoid bone, invading through the cavernous sinus, and treated using the fully endoscopic endonasal approach.

摘要

骨巨细胞瘤(GCTs)是极为罕见的病变,占所有骨肿瘤的比例不到5%。它们主要发生在长骨。然而,这些肿瘤中有一小部分发生在骨盆、脊柱或颅骨。这些病变通常是良性的,但具有局部侵袭性,需要完全切除。如今,骨巨细胞瘤和其他颅底病变可采用扩大经鼻内镜入路进行治疗。我们报告一例位于颅底的骨巨细胞瘤病例,该肿瘤起源于斜坡和蝶骨,侵犯海绵窦,并采用完全经鼻内镜入路进行治疗。

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