Chen Thomas C
Neurosurgery and Pathology, University of Southern California, 1200, N state st suite 3300, Los Angeles, CA 90033, USA.
Neurosurg Clin N Am. 2016 Apr;27(2):189-93. doi: 10.1016/j.nec.2015.11.011. Epub 2016 Feb 18.
Primary intraosseous meningiomas are a subtype of primary extradural meningiomas. They represent approximately two-thirds of extradural meningiomas and fewer than 2% of meningiomas overall. These tumors originate within the bones of the skull and can have a clinical presentation and radiographic differential diagnosis different from those for intradural meningiomas. Primary intraosseous meningiomas are classified based on location and histopathologic characteristics. Treatment is primarily surgical resection with wide margins if possible. Sparse literature exists regarding the use of adjuvant therapies. The literature regarding primary intraosseous meningiomas consists primarily of clinical case reports and case series. This literature is reviewed and summarized in this article.
原发性骨内脑膜瘤是原发性硬膜外脑膜瘤的一种亚型。它们约占硬膜外脑膜瘤的三分之二,在所有脑膜瘤中占比不到2%。这些肿瘤起源于颅骨内,其临床表现和影像学鉴别诊断与硬膜内脑膜瘤不同。原发性骨内脑膜瘤根据位置和组织病理学特征进行分类。治疗主要是尽可能进行广泛边缘的手术切除。关于辅助治疗的文献较少。关于原发性骨内脑膜瘤的文献主要由临床病例报告和病例系列组成。本文对该文献进行了综述和总结。