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伪装成恶性脑肿瘤的巨大脑结核瘤——两例报告

Giant Cerebral Tuberculoma Masquerading as Malignant Brain Tumor - A Report of Two Cases.

作者信息

Agrawal Prity, Phuyal Subash, Panth Rajesh, Shrestha Pratyush, Lamsal Ritesh

机构信息

Radiology, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Kathmandu, NPL.

Neuroimaging and Interventional Neuroradiology, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Kathmandu, NPL.

出版信息

Cureus. 2020 Sep 20;12(9):e10546. doi: 10.7759/cureus.10546.

DOI:10.7759/cureus.10546
PMID:33101794
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7575315/
Abstract

Giant cerebral tuberculoma is an uncommon but serious form of tuberculosis. We report two patients who had a single, large lesion on magnetic resonance imaging (MRI) of the brain. Both patients underwent neurosurgery for the excision of the mass lesion as neuroimaging findings were suggestive of a brain tumor. Tuberculoma was later diagnosed on histopathological examination. We want to highlight that cerebral tuberculomas can mimic malignant brain tumors, as the clinical, laboratory, and radiologic features of cerebral tuberculomas are nonspecific.

摘要

巨大脑结核瘤是一种罕见但严重的结核病形式。我们报告了两名患者,他们的脑部磁共振成像(MRI)显示有单个大病灶。由于神经影像学检查结果提示为脑肿瘤,两名患者均接受了神经外科手术以切除肿块病变。后来经组织病理学检查诊断为结核瘤。我们想强调的是,脑结核瘤可酷似恶性脑肿瘤,因为脑结核瘤的临床、实验室和放射学特征并无特异性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865b/7575315/ea56f1f61a90/cureus-0012-00000010546-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865b/7575315/69d015254538/cureus-0012-00000010546-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865b/7575315/ea56f1f61a90/cureus-0012-00000010546-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865b/7575315/69d015254538/cureus-0012-00000010546-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865b/7575315/ea56f1f61a90/cureus-0012-00000010546-i02.jpg

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本文引用的文献

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Wellcome Open Res. 2019 Oct 31;4:158. doi: 10.12688/wellcomeopenres.15501.2. eCollection 2019.
2
Intraventricular Tuberculoma with Profound Visual Loss: A Case Report and Literature Review.伴有严重视力丧失的脑室内结核瘤:一例报告及文献综述
Cureus. 2018 Jun 14;10(6):e2807. doi: 10.7759/cureus.2807.
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Giant Intracerebral Tuberculoma with Complete Disappearance on Antitubercular Therapy Alone in a Pediatric Case: A Case Illustration with Review of Management Strategy.
IDCases. 2021 Oct 29;26:e01319. doi: 10.1016/j.idcr.2021.e01319. eCollection 2021.
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Cerebral tuberculomas - A clinical challenge.脑结核瘤——一项临床挑战。
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Surgical management of double giant tuberculomas of brain involving both supratentorial and infratentorial compartments.累及幕上和幕下腔室的双巨大脑结核瘤的外科治疗
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