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中枢神经系统血管母细胞瘤:2004年至2014年期间在伊朗德黑兰绍哈达-塔吉里什医院接受手术治疗的一系列病例

Hemangioblastoma of the Central Nervous System: A Case Series of Patients Surgically Treated at Shohada-e-Tajrish Hospital, Tehran, Iran during 2004-2014.

作者信息

Ahadi Mahsa, Zham Hanieh, Rakhshan Azadeh, Rafizadeh Mitra, Talebi Bayazi Davood, Baikpour Masoud, Moradi Afshin

机构信息

Cancer Research Center, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Iran J Child Neurol. 2019 Spring;13(2):163-169.

Abstract

OBJECTIVES

Hemangioblastoma refers to a benign vascular neoplasm that comprises stromal and capillary cells. Based on the classification of nervous system tumors proposed by WHO, hemangioblastomas are classified as Grade I meningeal tumors of uncertain origin. These tumors are found almost exclusively in the central nervous system (CNS) and account for 0.9% to 2.1% of all primary CNS tumors.

MATERIALS & METHODS: In this descriptive retrospective study, the archives of pathology reports were reviewed in the Department of Pathology of Shohada-e-Tajrish Hospital, Tehran, Iran and patients with definite diagnosis of hemangioblastoma made through histopathological examinations during 2004-2014 were identified. Age, gender and the location of tumor were extracted from the medical records and entered into SPSS statistical software v.22 for analysis.

RESULTS

Thirty patients including 16 males (53.3%) and 14 females (46.7%) were identified. The mean age of the patients was calculated to be 41.2±13.47 yr, ranging from 19 to 62 yr old. The majority of lesions had been found in the cerebellum of the patients (93.3%); only one had occurred in the cerebrum (3.3%) and another in the fourth ventricle (3.3%).

CONCLUSION

Cerebellum is the most commonly affected location in patients with CNS hemangioblastomas, and a male preponderance is observed in these cases.

摘要

目的

血管母细胞瘤是一种由基质细胞和毛细血管细胞组成的良性血管肿瘤。根据世界卫生组织提出的神经系统肿瘤分类,血管母细胞瘤被归类为起源不明的I级脑膜肿瘤。这些肿瘤几乎仅见于中枢神经系统(CNS),占所有原发性CNS肿瘤的0.9%至2.1%。

材料与方法

在这项描述性回顾性研究中,对伊朗德黑兰塔吉里什烈士医院病理科的病理报告档案进行了审查,确定了2004年至2014年期间经组织病理学检查确诊为血管母细胞瘤的患者。从病历中提取年龄、性别和肿瘤位置,并输入SPSS统计软件v. (22)进行分析。

结果

共确定30例患者,其中男性16例(53.3%),女性14例(46.7%)。患者的平均年龄计算为41.2±13.47岁,年龄范围为19至62岁。大多数病变见于患者的小脑(93.3%);仅1例发生在大脑(3.3%),另1例发生在第四脑室(3.3%)。

结论

小脑是CNS血管母细胞瘤患者最常受累的部位,且这些病例中观察到男性占优势。

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本文引用的文献

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The 2007 WHO classification of tumours of the central nervous system.2007年世界卫生组织中枢神经系统肿瘤分类
Acta Neuropathol. 2007 Aug;114(2):97-109. doi: 10.1007/s00401-007-0243-4. Epub 2007 Jul 6.
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Hemangioblastoma of the optic nerve--case report.视神经血管母细胞瘤——病例报告
Neurol Med Chir (Tokyo). 2007 May;47(5):215-8. doi: 10.2176/nmc.47.215.
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Clinical management of Von Hippel-Lindau (VHL) disease.冯·希佩尔-林道(VHL)病的临床管理
Neth J Med. 2001 Nov;59(5):225-34. doi: 10.1016/s0300-2977(01)00165-6.

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