Arita N, Hayakawa T, Mogami H, Ushio Y
Dept. of Neurosurgery, Osaka Univ. Med. School.
Gan No Rinsho. 1989 Sep;35(11):1308-12.
Fifteen (15.6%) patients of 97 with malignant glioma developed meningeal gliomatosis during at least 2 years after the initial treatment. The time between the first surgery and diagnosis of meningeal gliomatosis was less than 1 year in 10 cases, 1 to 2 years in 2 and over 2 years in 2. In the younger age group less than 20 years, the incidence of meningeal gliomatosis was higher (46%) than that (12%) in the older group. Despite intrathecal chemotherapy (cytosine arabinoside, bleomycin and methotrexate), all patients died 2 to 24 weeks after the diagnosis of meningeal gliomatosis. Experimental studies suggest that intrathecal ACNU may be promising for the treatment of meningeal gliomatosis.
97例恶性胶质瘤患者中有15例(15.6%)在初始治疗后至少2年内发生了脑膜胶质瘤病。首次手术与脑膜胶质瘤病诊断之间的时间,10例少于1年,2例为1至2年,2例超过2年。在年龄小于20岁的较年轻组中,脑膜胶质瘤病的发生率(46%)高于年龄较大组(12%)。尽管进行了鞘内化疗(阿糖胞苷、博来霉素和甲氨蝶呤),但所有患者在脑膜胶质瘤病诊断后2至24周内死亡。实验研究表明,鞘内注射ACNU可能对治疗脑膜胶质瘤病有前景。