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桥小脑角区孤立性纤维瘤/血管外皮细胞瘤酷似前庭神经鞘瘤:一例报告并文献复习

Solitary fibrous tumor/hemangiopericytoma in the cerebellopontine angle mimicking vestibular schwannoma: A case report and literature review.

作者信息

Yue Xi, Huang Jie, Zhu Yaqi, Du Yong

机构信息

Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Sichuan Province, China.

出版信息

Medicine (Baltimore). 2020 Mar;99(13):e19651. doi: 10.1097/MD.0000000000019651.

Abstract

RATIONALE

Intracranial solitary fibrous tumors (SFTs) and hemangiopericytomas (HPCs) are rare spindle cell tumors of mesenchymal origin that include benign and malignant neoplasms.

PATIENT CONCERNS

We present a 66-year-old male with a 5-year history of headache and dizziness, with left progressive sensorineural hearing loss over 1 month.

DIAGNOSES

WHO grade II SFT/HPC originating from the internal auditory canal in the left cerebellopontine angle.

INTERVENTIONS

surgical resection.

OUTCOMES

No local recurrence or metastases were observed in the follow-up 3 months after the surgery.

LESSONS

Intracranial SFTs/HPCs are rare mesenchymal neoplasms that are challenging to manage. If the imaging characteristics of tumor are not typical, clinicians should depend on tissue biopsy and immunohistochemistry to make a definitive diagnosis.

摘要

理论依据

颅内孤立性纤维瘤(SFTs)和血管外皮细胞瘤(HPCs)是罕见的间叶源性梭形细胞肿瘤,包括良性和恶性肿瘤。

患者情况

我们报告一名66岁男性,有5年头痛和头晕病史,1个月内左侧进行性感音神经性听力丧失。

诊断

起源于左侧小脑脑桥角内耳道的世界卫生组织II级SFT/HPC。

干预措施

手术切除。

结果

术后3个月随访未观察到局部复发或转移。

经验教训

颅内SFTs/HPCs是罕见的间叶肿瘤,治疗具有挑战性。如果肿瘤的影像学特征不典型,临床医生应依靠组织活检和免疫组化进行明确诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5a8/7220372/4684d79f5ed0/medi-99-e19651-g001.jpg

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