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小脑延髓池血管脂肪瘤 1 例罕见病例报告并文献复习。

A rare case report of infratentorial cisternal angiolipoma with review of literature.

机构信息

Department of Neurosurgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

Department of Surgery, Box Hill Hospital Eastern Health, VIC, Australia.

出版信息

Childs Nerv Syst. 2024 Feb;40(2):549-553. doi: 10.1007/s00381-023-06099-5. Epub 2023 Aug 8.

Abstract

Angiolipomas are slow-growing benign mesenchymal-derived tumors consisting of mature adipocytes and thin-walled blood vessels. While the majority of angiolipomas are found in subcutaneous tissues, rarely there are case reports of intracranial lesions. We present a case of cisternal angiolipoma in a 10-year-old female. She presented with vague symptoms like dizziness without neurological deficits and radiological evaluation confirmed a left-sided infratentorial cisternal partially enhancing mass. She underwent craniotomy and had complete resection of the mass, which was histologically composed of mature adipocytes and blood vessels, consistent with angiolipoma. A review of the literature found only 18 cases of intracranial angiolipoma ever reported with our case representing the first case of infratentorial cisternal region.

摘要

血管脂肪瘤是由成熟的脂肪细胞和薄壁血管组成的生长缓慢的良性间叶源性肿瘤。虽然大多数血管脂肪瘤位于皮下组织中,但也有颅内病变的罕见病例报告。我们报告了一例 10 岁女性的鞍旁血管脂肪瘤。她表现为头晕等模糊症状,无神经功能缺损,影像学评估证实左侧颅后窝脑池内有部分增强的肿块。她接受了开颅手术,并完全切除了肿块,组织学上由成熟的脂肪细胞和血管组成,符合血管脂肪瘤的特征。文献复习仅发现 18 例颅内血管脂肪瘤病例,我们的病例是首例颅后窝脑池区的病例。

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