Uehara Masashi, Takahashi Jun, Mukaiyama Keijiro, Kuraishi Shugo, Shimizu Masayuki, Ikegami Shota, Futatsugi Toshimasa, Sano Kenji, Hongo Kazuhiro, Kato Hiroyuki
Department of Orthopaedic Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Department of Laboratory Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Asian Spine J. 2014 Dec;8(6):846-51. doi: 10.4184/asj.2014.8.6.846. Epub 2014 Dec 17.
Myxopapillary ependymoma in childhood typically occurs in the central nervous system. There are few surgical cases of myxopapillary ependymoma of the cauda equina in children. We report a case of myxopapillary ependymoma of the cauda equina in a 5-year-old boy, who presented with leg pain and abnormal gait. Subtotal resection surgery was performed. Following the subtotal tumor resection, follow-up magnetic resonance imaging evaluation showed a recurrent tumor. As a result, we performed a second subtotal tumor resection and followed with postoperative radiation therapy. No further evidence of the disease has been noted elsewhere in the patient in over ten years of follow-up. Myxopapillary ependymoma of the cauda equina in a young boy was improved by subtotal tumor resection and postoperative radiation therapy.
儿童黏液乳头型室管膜瘤通常发生于中枢神经系统。儿童马尾神经黏液乳头型室管膜瘤的手术病例较少。我们报告一例5岁男孩的马尾神经黏液乳头型室管膜瘤，该患儿表现为腿痛和步态异常。实施了次全切除手术。在肿瘤次全切除后，随访磁共振成像评估显示肿瘤复发。因此，我们进行了第二次肿瘤次全切除，并术后进行放射治疗。在超过十年的随访中，患者其他部位未发现该疾病的进一步证据。一名小男孩的马尾神经黏液乳头型室管膜瘤通过肿瘤次全切除和术后放射治疗得到改善。
