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神经系统畸胎瘤:病例系列

Teratoma of the nervous system: A case series.

作者信息

Algahtani Hussein, Shirah Bader, Abdullah Ahad, Bazaid Abdulrahman

机构信息

King Abdulaziz Medical City/King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.

King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.

出版信息

Neurocirugia (Engl Ed). 2018 May-Jun;29(3):143-149. doi: 10.1016/j.neucir.2017.03.004. Epub 2017 May 10.

DOI:10.1016/j.neucir.2017.03.004
PMID:28501423
Abstract

Teratoma is a common form of germ cell tumors composed of multiple tissues foreign to the site in which arise with a histological representation of all three germ cell layers. Intracranial teratomas are very rare. In this study, we report three cases of intracranial teratomas with an interesting clinical course, neuroradiology, and outcome. In addition, we review the literature and convey important messages to the neuroscience community regarding issues related to the management of these rare tumors. The present cases are interesting examples of intracranial teratoma in terms of location of the tumor and neuroimaging findings. Delay in surgical intervention may complicate the course of the disease with progressive enlargement of tumors and development of complication including hydrocephalus. Using endoscopic surgical techniques may emerge as the preferred intervention option as compared to other traditional methods. We recommend the establishment of a national and international registry for intracranial tumors.

摘要

畸胎瘤是生殖细胞肿瘤的一种常见形式,由多种与肿瘤发生部位无关的组织构成,具有所有三个胚层的组织学表现。颅内畸胎瘤非常罕见。在本研究中,我们报告了三例颅内畸胎瘤病例,其具有有趣的临床病程、神经放射学表现及转归。此外,我们回顾了文献,并就这些罕见肿瘤的管理相关问题向神经科学界传达重要信息。就肿瘤位置和神经影像学表现而言,目前这些病例是颅内畸胎瘤的有趣实例。手术干预延迟可能会使疾病病程复杂化,出现肿瘤进行性增大以及包括脑积水在内的并发症。与其他传统方法相比,使用内镜手术技术可能会成为首选的干预方式。我们建议建立一个国家和国际颅内肿瘤登记系统。

相似文献

1
Teratoma of the nervous system: A case series.神经系统畸胎瘤:病例系列
Neurocirugia (Engl Ed). 2018 May-Jun;29(3):143-149. doi: 10.1016/j.neucir.2017.03.004. Epub 2017 May 10.
2
[Expanding mature pineal teratoma syndrome. Case report].[扩大性成熟松果体畸胎瘤综合征。病例报告]
Neurochirurgie. 2000 Dec;46(6):568-572.
3
Neuroendoscopic management of hydrocephalus secondary to midline and pineal lesions.神经内镜治疗中线和松果体区病变继发的脑积水
J Neurosurg Sci. 2005 Sep;49(3):97-106.
4
Initial endoscopic management of pineal region tumors and associated hydrocephalus: clinical series and literature review.松果体区肿瘤及相关脑积水的初始内镜治疗:临床系列研究与文献综述
J Neurosurg. 2004 May;100(5 Suppl Pediatrics):437-41. doi: 10.3171/ped.2004.100.5.0437.
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Successful treatment of metastatic βHCG-secreting germ cell tumor occurring 3 years after total resection of a pineal mature teratoma.松果体成熟畸胎瘤全切术后3年发生的转移性β人绒毛膜促性腺激素分泌性生殖细胞肿瘤的成功治疗。
Eur J Pediatr. 2014 Aug;173(8):1011-5. doi: 10.1007/s00431-014-2282-x. Epub 2014 Feb 21.
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Successful treatment of hemorrhagic congenital intracranial immature teratoma with neoadjuvant chemotherapy and surgery.采用新辅助化疗和手术成功治疗出血性先天性颅内未成熟畸胎瘤。
J Neurosurg Pediatr. 2014 Jan;13(1):38-41. doi: 10.3171/2013.9.PEDS1347. Epub 2013 Oct 25.
7
Treatment of nongerminomatous germ-cell tumors of the pineal region.松果体区非生殖细胞瘤的治疗。
Neurosurgery. 1994 Mar;34(3):524-9; discussion 529. doi: 10.1227/00006123-199403000-00021.
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Management of hydrocephalus secondary to pineal region tumors.松果体区肿瘤继发脑积水的管理
Clin Neurol Neurosurg. 2013 Sep;115(9):1809-13. doi: 10.1016/j.clineuro.2013.05.009. Epub 2013 Jun 3.
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Posterior fossa teratoma.后颅窝畸胎瘤
Neurosciences (Riyadh). 2013 Oct;18(4):371-4.
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Infratentorial complications following preresection CSF diversion in children with posterior fossa tumors.后颅窝肿瘤患儿术前脑脊液分流术后的幕下并发症
J Neurosurg Pediatr. 2015 Jan;15(1):4-11. doi: 10.3171/2014.8.PEDS14146.

引用本文的文献

1
Spontaneous rupture of a giant mature teratoma in the lateral ventricle: a case report.侧脑室巨大成熟畸胎瘤自发性破裂:一例报告
Front Oncol. 2025 Jan 27;14:1493982. doi: 10.3389/fonc.2024.1493982. eCollection 2024.
2
Infratentorial immature teratoma of congenital origin can be associated with a 20-year survival outcome: a case report and review of literature.先天性颅后窝未成熟畸胎瘤可伴 20 年生存结局:病例报告及文献复习。
World J Surg Oncol. 2019 Jan 19;17(1):22. doi: 10.1186/s12957-019-1564-1.