Maiuri F, Stella L, Benvenuti D, Gangemi M, Corriero G
Acta Neurol (Napoli). 1989 Feb;11(1):25-31.
Two cases of tumors of the neuron series presenting as cysts with mural tumor nodules are described. This radiographic and surgical aspect may be observed in astrocytomas, meningiomas or ependymomas, whereas it is more rare for neuroblastomas and ganglioneuromas. There are not CT features which allow to differentiate cystic tumors of the neuron series from the other cystic tumors. The finding of cyst with enhancing mural tumor nodule and unenhanced wall is more favorable from a surgical point of view; the complete removal of the nodule with preservation of the reactive cyst wall results in the cure of patients with ganglioneuroma and ganglioglioma and in good long-term survival in those with cerebral neuroblastomas.
本文描述了两例以伴有壁结节的囊肿形式出现的神经系列肿瘤。这种影像学和手术表现可见于星形细胞瘤、脑膜瘤或室管膜瘤,而在神经母细胞瘤和神经节神经瘤中则较为罕见。没有CT特征能够将神经系列的囊性肿瘤与其他囊性肿瘤区分开来。从手术角度来看,发现伴有强化壁结节和无强化囊壁的囊肿更为有利;完整切除结节并保留反应性囊壁可治愈神经节神经瘤和神经节胶质瘤患者,并使脑神经母细胞瘤患者获得良好的长期生存。