典型脑膜瘤全切术后行辅助放疗：未解决的问题。
Adjuvant radiotherapy in a case of atypical meningioma after gross total resection: an unresolved issue.
机构信息
Radiation Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Radiation Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
出版信息
BMJ Case Rep. 2021 Nov 12;14(11):e245769. doi: 10.1136/bcr-2021-245769.
We present a case of a 48-year-old man diagnosed with parasagittal atypical meningioma (AM) involving biparietal bones with intracranial and extracranial extension up to galea aponeurotica of the scalp. The patient underwent Simpson's grade 2 resection (GTR (gross total tumour resection) with coagulation of dural attachment). Currently, in AMs, the role of adjuvant radiotherapy is controversial after GTR. Here, through this case, we have discussed in detail issues related to tumour origin, that is, primary versus secondary extradural meningioma and controversial topics regarding the role of adjuvant radiotherapy in the management of AMs. We have presented our radiation treatment strategy addressing the high-risk zones related to tumour extension in this case.
我们报告了一例 48 岁男性，诊断为矢状窦旁非典型脑膜瘤（AM），累及顶骨的颅骨内外，延伸至头皮的腱膜下疏松结缔组织。患者行 Simpson 分级 2 切除术（GTR（大体全切除），硬膜附着处电凝）。目前，在 GTR 后，辅助放疗在 AM 中的作用存在争议。在此，通过本病例，我们详细讨论了与肿瘤起源相关的问题，即原发性与继发性硬脑膜外脑膜瘤，以及辅助放疗在 AM 治疗中作用的争议性问题。我们提出了针对本例肿瘤延伸的高危区域的放射治疗策略。
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