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7例颅内出血合并颅内肿瘤患者:病例描述及文献综述

Seven patients diagnosed as intracranial hemorrhage combined with intracranial tumor: case description and literature review.

作者信息

Zeng Chun, Tang Shuang, Jiang Yongming, Xiong Xuehua, Zhou Shuai

机构信息

Department of Neurosurgery, Suining Central Hospital Sichuan 629000, PR China.

Medical Faculty, Kunming University of Science and TechnologyKunming 650500, PR China; Department of Neurosurgery, The First People's Hospital of Yunnan Province (The Affiliated Hospital of Kunming University of Science and Technology)Kunming 650500, PR China.

出版信息

Int J Clin Exp Med. 2015 Oct 15;8(10):19621-5. eCollection 2015.

Abstract

In the present study, 7 patients with brain hemorrhage combined with intracranial tumor were investigated for about 3 years. Furthermore, the previous reports related with such cases were also reviewed. In all of these patients, hemorrhage was a main characteristic of the diagnosed neoplasm. The clinical data were identified by computed tomography (CT) scanning in the present study. CT scanning results demonstrated that there was a neoplastic core with high or low density and multifocal clots generally at the borders of the tumors. Increase of tumor tissues with intravenous injection of approximate 70% hypaque was analyzed in all the 7 patients with brain hemorrhage. The parts that were increased showed peripheral distributions corresponding to the hemorrhage sites. In conclusion, the intracranial brain hemorrhage related with the several types of tumors, including hemangiopericytoma, metastatic carcinomas, oligodendroglioma, and glioblastoma multiforme, which may be helpful to these patients.

摘要

在本研究中,对7例脑出血合并颅内肿瘤患者进行了约3年的调查。此外,还回顾了此前与此类病例相关的报告。在所有这些患者中,出血是诊断出的肿瘤的主要特征。本研究通过计算机断层扫描(CT)来识别临床数据。CT扫描结果显示,存在一个密度高或低的肿瘤核心,且在肿瘤边界处通常有多灶性血凝块。对所有7例脑出血患者静脉注射约70%的泛影葡胺后分析肿瘤组织的增加情况。增加的部分显示出与出血部位相对应的外周分布。总之,颅内脑出血与几种类型的肿瘤有关,包括血管外皮细胞瘤、转移性癌、少突胶质细胞瘤和多形性胶质母细胞瘤,这可能对这些患者有帮助。

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