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病例报告系列及罕见的硬脊膜内髓外肿瘤——支气管源性囊肿综述

Case Report Series and Review of Rare Intradural Extramedullary Neoplasms-Bronchiogenic Cysts.

作者信息

Chen Junchen, Lai Runlong, Li Zhimin, Gao Jun, Li Yongning, Wang Tianyu, Li Yong

机构信息

From the Department of Neurosurgery, First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong (JC, RL, YL); and Department of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medicine Sciences & Peaking Union Medical College, Beijing, China (ZL, JG, YL, TW).

出版信息

Medicine (Baltimore). 2015 Dec;94(49):e2039. doi: 10.1097/MD.0000000000002039.

Abstract

The congenital malformation known as an intraspinal bronchiogenic cyst is a rare form of endodermal (neurenteric, enterogenous) cyst lined with respiratory tract epithelium. We describe 3 new cases of intradural extramedullary bronchiogenic cyst in the Department of Neurosurgery between the years 2006 and 2014. Three patients were performed resection of intradural extramedullary bronchiogenic cysts and finally symptoms were relieved. Taken together with 10 previous reports identified from a PubMed search, an analysis of 13 cases of intradural bronchiogenic cysts was conducted. The aim of this literature review was to provide information on histopathology, mechanisms of pathogenesis, clinical manifestations, radiographic features, and surgical strategies.Symptoms in spinal bronchiogenic cyst patients primarily depend on the local mass effect of the cyst on the spinal cord. magnetic resonance imaging, together with myelograms and computed tomography scans, is necessary to preoperative evaluation of spinal bronchiogenic cysts. The aim of surgery is total resection, although tight adhesion, ventral and intramedullary locations, and vertebral anomalies make it more challenging.

摘要

先天性脊柱内支气管源性囊肿是一种罕见的内衬呼吸道上皮的内胚层(神经肠源性、肠源性)囊肿。我们描述了2006年至2014年间神经外科收治的3例硬脊膜内髓外支气管源性囊肿新病例。3例患者均接受了硬脊膜内髓外支气管源性囊肿切除术,最终症状缓解。结合从PubMed检索中确定的10篇既往报道,对13例硬脊膜内支气管源性囊肿进行了分析。这篇文献综述的目的是提供有关组织病理学、发病机制、临床表现、影像学特征和手术策略的信息。脊柱支气管源性囊肿患者的症状主要取决于囊肿对脊髓的局部占位效应。磁共振成像以及脊髓造影和计算机断层扫描对于脊柱支气管源性囊肿的术前评估是必要的。手术的目的是完全切除,尽管紧密粘连、腹侧和髓内位置以及椎体异常使其更具挑战性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f513/5008474/4bef094edb12/medi-94-e2039-g001.jpg

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