囊性脑膜瘤：放射学与组织病理学特征的相关性
Cystic Meningiomas: Correlation between Radiologic and Histopathologic Features.
作者信息
Go Kyeong O, Lee Kwangho, Heo Won, Lee Young Seok, Park Young Seop, Kim Sung Kwon, Lee Jeong Hee, Jung Jin Myung
机构信息
Department of Neurosurgery, Gyeongsang National University Hospital, Jinju, Korea.
Department of Neurosurgery, Gyeongsang National University Changwon Hospital, Changwon, Korea.
出版信息
Brain Tumor Res Treat. 2018 Apr;6(1):13-21. doi: 10.14791/btrt.2018.6.e3. Epub 2018 Apr 2.
BACKGROUND
Tumors with cysts often correlate with gliomas, metastatic tumors, or hemangioblastomas, which require differentiation.
METHODS
Thirty-eight cases of cyst associated-meningioma based on preoperative radiologic studies and histologic confirmations were reviewed from November 1998 to July 2017.
RESULTS
A total of 395 cases of meningioma were observed in the 20 years, and surgical treatment of intracranial meningioma was performed in 120 cases. Thirty-eight (9.6%) cases of cyst associated meningiomas were analyzed. Nauta type I was the most common type of cyst (39.5%) and the most frequent histopathological subtype was meningothelial type (36.8%).
CONCLUSION
Statistically there were no significant associations between meningioma histopathological type and associated cysts; however, the rate of World Health Organization grade II was higher in cyst associated meningiomas than in unrelated meningiomas. This correlation was weak, in accordance with the meningioma grade.
背景
伴有囊肿的肿瘤常与胶质瘤、转移性肿瘤或血管母细胞瘤相关，需要进行鉴别。
方法
回顾性分析1998年11月至2017年7月期间基于术前影像学研究和组织学确诊的38例囊肿相关性脑膜瘤病例。
结果
20年间共观察到395例脑膜瘤，其中120例行颅内脑膜瘤手术治疗。分析了38例（9.6%）囊肿相关性脑膜瘤。Nauta I型是最常见的囊肿类型（39.5%），最常见的组织病理学亚型是脑膜内皮型（36.8%）。
结论
从统计学上看，脑膜瘤组织病理学类型与相关囊肿之间无显著关联；然而，囊肿相关性脑膜瘤的世界卫生组织II级比例高于非相关性脑膜瘤。这种相关性较弱，与脑膜瘤分级一致。
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