老年患者额颞骨原发性尤因肉瘤
Primary Ewing Sarcoma of Frontotemporal Bone in Geriatric Patient.
作者信息
Aydin Seckin, Yuksel Odhan, Tanritanir Rahime, Aydin Aysegul Esen, Celik Suat Erol
机构信息
Department of Neurosurgery, T. C. Ministry of Health Okmeydani Education and Research Hospital, Istanbul, Turkey.
Department of Neurosurgery, Aspendos Anadolu Hospital, Antalya, Turkey.
出版信息
World Neurosurg. 2018 Jul;115:278-281. doi: 10.1016/j.wneu.2018.04.158. Epub 2018 Apr 30.
BACKGROUND
Ewing sarcoma is a rare primary malignant bone tumor, which mainly affects children and adolescents. Calvarial bone involvement and its appearance in elderly patients are extremely rare.
CASE DESCRIPTION
We presented a 68-year-old female patient with headache and right frontotemporal swelling. Imaging studies showed a right frontotemporal mass expanding to the Sylvian fissure. The patient underwent total resection of the mass, and pathologic evaluation ensured the diagnosis of primary Ewing sarcoma. The patient had adjuvant radiotherapy and chemotherapy after surgery.
CONCLUSIONS
Prognosis and efficiency of treatment for primary Ewing sarcoma of skull are unclear in elderly patients because of the sarcoma's rare appearance. Therefore more clinical evaluation is necessary. This case is the oldest patient presented in the literature.
背景
尤因肉瘤是一种罕见的原发性恶性骨肿瘤，主要影响儿童和青少年。颅骨受累及其在老年患者中的表现极为罕见。
病例描述
我们报告了一名68岁女性患者，有头痛和右额颞部肿胀症状。影像学检查显示右额颞部有一肿块，延伸至大脑外侧裂。患者接受了肿块全切术，病理评估确诊为原发性尤因肉瘤。患者术后接受了辅助放疗和化疗。
结论
由于尤因肉瘤在老年患者中罕见，颅骨原发性尤因肉瘤的预后和治疗效果尚不清楚。因此，需要更多的临床评估。该病例是文献报道中年龄最大的患者。
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