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儿童后颅窝成星形细胞瘤:一例病例报告及文献复习

Posterior fossa astroblastoma in a child: a case report and a review of the literature.

作者信息

Yapıcıer Özlem, Demir Mustafa Kemal, Özdamarlar Umut, Kılıç Deniz, Akakın Akın, Kılıç Türker

机构信息

Department of Pathology, Bahçeşehir University School of Medicine, Göztepe Medical Park Training and Education Hospital, Istanbul, Turkey.

Department of Radiology,, Bahçeşehir University School of Medicine, Göztepe Medical Park Training and Education Hospital, 11. kisim, Yasemin Apt, D blok. Daire 35 Ataköy, 34158, Istanbul, Turkey.

出版信息

Childs Nerv Syst. 2019 Jul;35(7):1251-1255. doi: 10.1007/s00381-019-04113-3. Epub 2019 Mar 12.

Abstract

A 4-year-old girl presented to the hospital with a progressive headache, difficulty walking, and persistent daily vomiting for 3 weeks. Papilledema was observed on fundoscopic examination. A large left cerebellovermian tumor with "bubbly" appearance was discovered. Total removal of the tumor mass was performed, and a diagnosis of low-grade astroblastoma was made. Adjuvant radiotherapy was performed due to the risk of recurrence. The patient is disease-free and has been kept on close follow-up for 6 months. The occurrence of posterior fossa astroblastoma has been rarely reported in the literature. Thus, when a "bubby" appearance enhancing cystic solid tumor is located on the cerebellar hemisphere in a child, an astroblastoma should also be included in the differential diagnosis.

摘要

一名4岁女孩因进行性头痛、行走困难及持续3周的每日持续性呕吐入院。眼底检查发现视乳头水肿。发现一个外观呈“泡沫状”的巨大左小脑蚓部肿瘤。行肿瘤肿块全切,诊断为低级别成星形细胞瘤。因有复发风险,进行了辅助放疗。患者无疾病复发,已密切随访6个月。后颅窝成星形细胞瘤的发生在文献中鲜有报道。因此,当儿童小脑半球出现一个呈“泡沫状”外观的强化囊实性肿瘤时,鉴别诊断中也应考虑成星形细胞瘤。

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