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勒米特-迪克洛病(发育异常性小脑神经节细胞瘤):一例报告。

Lhermitte-duclos disease (dysplastic cerebellar gangliocytoma): A case report.

作者信息

Atiq Aribah, Hassan Usman, Akhtar Noreen, Mushtaq Sajid

机构信息

Department of Histopathology, Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, Pakistan.

Department of Pathology, Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, Pakistan.

出版信息

J Pak Med Assoc. 2020 Dec;70(12(B)):2464-2466. doi: 10.47391/JPMA.591.

Abstract

Lhermitte-Duclos disease (LDD) is a relatively uncommon condition of the cerebellum. It is generally characterised as a hamartomatous lesion of posterior fossa and is common in the third and fourth decades of life. According to the World Health Organisation, it is classified as a grade I tumour with potential for recurrence. Otherwise, this disease is generally associated with good prognosis. Malignant transformation of LDD has not yet been reported. However, genetic counselling of the patient is recommended with active surveillance. Since LDD is believed to be a pathognomonic feature of Cowden syndrome, which is a multi-system autosomal dominant hereditary disorder characterised by multiple hamartomas and an elevated risk of benign and malignant neoplasms, we decided to report this important entity considering its rarity and high clinical significance.

摘要

Lhermitte-Duclos病(LDD)是一种相对罕见的小脑疾病。它通常被描述为后颅窝的错构瘤性病变,常见于30至40岁。根据世界卫生组织的分类,它被归类为有复发可能的I级肿瘤。除此之外,这种疾病通常预后良好。LDD尚未有恶变的报道。然而,建议对患者进行遗传咨询并进行积极监测。由于LDD被认为是考登综合征的特征性表现,考登综合征是一种多系统常染色体显性遗传性疾病,其特征为多发性错构瘤以及良性和恶性肿瘤的发病风险增加,考虑到其罕见性和较高的临床意义,我们决定报告这一重要病例。

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