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[新生儿视神经胶质瘤——两例报告]

[Optic glioma in neonates--report of two cases].

作者信息

Andoh A, Ohkuma H, Ebina K, Suzuki S

机构信息

Department of Neurosurgery, Hirosaki University School of Medicine, Japan.

出版信息

No Shinkei Geka. 1988 Apr;16(4):429-33.

PMID:3386785
Abstract

We report two cases of optic glioma in neonates, which is rare and only 3 similar cases can be found in the literature so far. Case #1 was a 55-day-old boy having been lethargic since around his 25th postnatal day. Case #2 was a 100-day-old girl having also been in the same condition as Case #1 since around her 50th postnatal day. The tumor in either patients seemed to have originated from chiasm or its vicinity and were too large to remove totally. Histopathological diagnosis of the tumor was fibrillary astrocytoma grade II in Case #1, and was anaplastic astrocytoma grade III in Case #2, both of which are different from the most popular pilocytic astrocytoma in so called infantile optic glioma. Now, 5 months and 4 years respectively after the operation, mental and somatical developmental retardations are already seen in either patients. Their functional prognosis seems to be poor.

摘要

我们报告了两例新生儿视神经胶质瘤病例,这种情况很罕见,迄今为止在文献中仅能找到3例类似病例。病例1是一名55天大的男婴,自出生后第25天左右开始就一直嗜睡。病例2是一名100天大的女婴,自出生后第50天左右开始也出现了与病例1相同的症状。两名患者的肿瘤似乎都起源于视交叉或其附近,且肿瘤过大无法完全切除。病例1的肿瘤组织病理学诊断为二级纤维型星形细胞瘤,病例2为三级间变性星形细胞瘤,这两种类型均不同于所谓婴儿型视神经胶质瘤中最常见的毛细胞型星形细胞瘤。现在,分别在手术后5个月和4年,两名患者均已出现智力和身体发育迟缓。他们的功能预后似乎很差。

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