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侵袭性血管黏液瘤:颅骨首例病例报告。

Aggressive angiomyxoma: The first case report in skull.

作者信息

Cao Zexin, Miao Lifeng, Liu Min, Liu Wenyu, Zhang Hengrui, Liu Xuchen, Wang Jiwei, Wang Xinyu

机构信息

Department of Neurosurgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University and Institute of Brain and Brain-Inspired Science, Shandong University, Jinan, China.

Key Laboratory of Brain Function Remodeling, Qilu Hospital of Shandong University, Jinan, China.

出版信息

Front Surg. 2022 Aug 17;9:985739. doi: 10.3389/fsurg.2022.985739. eCollection 2022.

Abstract

Aggressive angiomyxoma (AAM) is a rare mesenchymal tumor primarily growing in the soft tissue of the pelvis and perineum in women of reproductive age. It is a benign tumor that still has a probability of being accompanied by localized invasion. Although negative margins of resection are difficult to achieve due to the invasive nature of the tumor and the lack of a well-defined capsule, the first line of treatment for AAM is surgery. The diagnosis of AAM is difficult to make due to a lack of specific manifestations and specific tumor markers. In this study, we reported a case of aggressive angiomyxoma in a 2-year-old girl that rarely develops in the skull with craniocerebral compression. The patient initially had a mass on her head that attracted the attention of her family, and then she began to have episodic headaches. Surgery was performed after hospitalization, and the tumor recurred 1 year after the operation, around the originally affected skull.

摘要

侵袭性血管黏液瘤(AAM)是一种罕见的间叶性肿瘤,主要发生于育龄期女性的盆腔和会阴软组织。它是一种良性肿瘤,但仍有局部侵袭的可能。尽管由于肿瘤的侵袭性和缺乏明确的包膜,难以实现切缘阴性,但AAM的一线治疗方法仍是手术。由于缺乏特异性表现和特异性肿瘤标志物,AAM的诊断较为困难。在本研究中,我们报告了一例2岁女童发生的侵袭性血管黏液瘤,该肿瘤罕见地发生于颅骨并伴有颅脑压迫。患者最初头部出现肿物,引起家人注意,随后开始出现发作性头痛。住院后进行了手术,术后1年肿瘤在原受累颅骨周围复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffc/9428339/eecb0732198e/fsurg-09-985739-g001.jpg

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