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双部位颅内血管内皮瘤的手术入路及进一步治疗:1例报告

Surgical Approach and Further Management of Intracranial Hemangioendothelioma With Double Location: A Case Report.

作者信息

Hernández-Hernández Alan, Villanueva-Castro Eliezer, Villanueva-Solórzano Pedro Leonardo, Degollado-García Javier, Cano-Velázquez Gerardo, Tena-Suck Martha Lilia, Ramos-Peek Miguel Angel

机构信息

Department of Neurosurgery, National Institute of Neurology and Neurosurgery Manuel Velasco Suárez, Mexico City, MEX.

Department of Neuropathology, National Institute of Neurology and Neurosurgery Manuel Velasco Suárez, Mexico City, MEX.

出版信息

Cureus. 2022 Nov 30;14(11):e32072. doi: 10.7759/cureus.32072. eCollection 2022 Nov.

Abstract

Hemangioendotheliomas are highly vascularized lesions, and their intracranial presentation is extremely rare. We present the case of a 65-year-old female patient who was evaluated for cranial deformity, headache, and left hemiplegia. Two bone lesions that were destroying and expanding the bone diploe with intracranial extension were identified in the fronto-temporal and parietal regions. Both lesions were multilobed and showed heterogeneous behavior. Mixed hemangioendotheliomas were identified after the successful resection of both tumors in two separate surgical procedures. The prognosis of this type of tumor with an intracranial location is not well-defined because there are too few reported cases.

摘要

血管内皮瘤是高度血管化的病变,其颅内表现极为罕见。我们报告一例65岁女性患者,该患者因颅骨畸形、头痛和左侧偏瘫接受评估。在额颞部和顶叶区域发现了两处骨质病变,这些病变破坏并扩展了板障骨并向颅内延伸。两处病变均呈多叶状,表现各异。在两次独立的手术中成功切除这两处肿瘤后,均确诊为混合性血管内皮瘤。由于报道的病例太少,这种颅内肿瘤的预后尚不明确。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8028/9803365/894f6f40555d/cureus-0014-00000032072-i01.jpg

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