Zhang Ning, Guo Linghong, Kuang Hongmei, Ji Yuqiang, Zeng Xianjun
Department of Radiology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
Department of Radiology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
World Neurosurg. 2019 Mar;123:251-255. doi: 10.1016/j.wneu.2018.12.005. Epub 2018 Dec 19.
Primary intracranial fibrosarcoma (PIF) is an exceedingly rare tumor. Only about 50 cases have been reported in the literature. Here, we present a case of a 20-year-old male who presented with a sudden-onset headache. Magnetic resonance imaging of the brain showed a hemorrhagic extra-axial space-occupying mass. The mass was surgically resected, and biopsy was consistent with PIF. The patient was lost to follow-up and presented with recurrence 3 months later. He expired from complications of the tumor. PIF is a diagnosis of exclusion: More common intracranial tumors should first be excluded. Biopsy is necessary to diagnose PIF.
原发性颅内纤维肉瘤(PIF)是一种极其罕见的肿瘤。文献中仅报道了约50例病例。在此,我们报告一例20岁男性,因突发头痛就诊。脑部磁共振成像显示轴外出血性占位性肿块。该肿块经手术切除,活检结果与PIF相符。患者失访,3个月后复发。他因肿瘤并发症死亡。PIF是一种排除性诊断:首先应排除更常见的颅内肿瘤。诊断PIF必须进行活检。