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原发性颅内平滑肌肿瘤与免疫抑制儿童中的 EBV 相关:两例报告及文献复习。

Primary intracranial smooth muscle tumor associated with Epstein-Barr virus in immunosuppressed children: two cases report and review of literature.

机构信息

Pediatric Neurosurgery Department, Dr. Asenjo Neurosurgical Institute, Santiago, Chile.

Radioneurosurgery and Functional Neurosurgery Unit, Sheba Medical Center, Ramat Gan, Israel.

出版信息

Childs Nerv Syst. 2021 Dec;37(12):3923-3932. doi: 10.1007/s00381-021-05173-0. Epub 2021 Apr 22.

DOI:10.1007/s00381-021-05173-0
PMID:33884483
Abstract

Primary intracranial smooth muscle tumors are rare. Most cases are related to Epstein-Barr virus proliferation in immunocompromised patients such as organ solid recipients. Only a few cases have been reported in pediatric patients. The clinical features are very variable depending mainly on the location and size of the smooth muscle tumor (SMT) and the pathogenesis is poorly understood. We describe two cases of intracranial SMT localized in the temporal lobe and associated with EBV in immunosuppressed children. A review of the literature associated with intracranial leiomyomas was also done.

摘要

原发性颅内平滑肌肉瘤较为罕见。大多数病例与免疫功能低下患者(如实体器官受者)中的 EBV 增殖有关。在儿科患者中,仅有少数病例报道。临床表现变化多样,主要取决于平滑肌肿瘤(SMT)的位置和大小,发病机制尚不清楚。我们描述了 2 例位于颞叶且与 EBV 相关的颅内 SMT 发生于免疫抑制儿童。同时还对与颅内平滑肌瘤相关的文献进行了回顾。

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本文引用的文献

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Epstein-Barr virus-associated smooth muscle tumor of the cavernous sinus: a delayed complication of allogenic peripheral blood stem cell transplantation: case report.海绵窦内 EBV 相关平滑肌肿瘤:异基因外周血造血干细胞移植的迟发性并发症:病例报告。
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The immunology of Epstein-Barr virus-induced disease.
病例报告:一名患有临床意义未明的白细胞介素-2诱导型T细胞激酶突变的儿童发生多例与爱泼斯坦-巴尔病毒相关的平滑肌瘤。
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A Rare Case of a Primary Leiomyoma of the Clivus in an Immunocompetent Patient and a Review of the Literature Regarding Clival Lesions.免疫功能正常患者中斜坡原发性平滑肌瘤的罕见病例及关于斜坡病变的文献综述
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EB 病毒诱发疾病的免疫学。
Annu Rev Immunol. 2015;33:787-821. doi: 10.1146/annurev-immunol-032414-112326. Epub 2015 Feb 11.
4
Epstein-Barr virus-associated smooth muscle tumours after transplantation, infection with human immunodeficiency virus and congenital immunodeficiency syndromes.移植后与 Epstein-Barr 病毒相关的平滑肌肿瘤、人类免疫缺陷病毒感染和先天性免疫缺陷综合征。
Pathobiology. 2013;80(6):297-301. doi: 10.1159/000351326. Epub 2013 Aug 30.
5
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Cancer. 2012 Mar 15;118(6):1637-48. doi: 10.1002/cncr.26448. Epub 2011 Aug 11.