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未进行窦重建的横窦旁血管外皮细胞瘤完整切除:一例报告并文献复习

Complete Resection of a Torcular Herophili Hemangiopericytoma without Sinus Reconstruction: A Case Report and Review of the Literature.

作者信息

Safi Salah-Edine, Godfrain Julie, Rooijakkers Herbert, Collignon Frederic

机构信息

Centre Hospitalier Interrégional Edith Cavell, Brussels, Belgium.

出版信息

Case Rep Surg. 2023 Sep 6;2023:2349363. doi: 10.1155/2023/2349363. eCollection 2023.

Abstract

A 78-year-old woman presented to the emergency department with mild headaches and a sudden onset of blurred vision. Computerized tomography scan and magnetic resonance imaging showed what was described at first as a meningioma invading and occluding the torcular Herophili, the posterior third of the superior sagittal sinus and the proximal part of the right transverse sinus. Gross total resection of the tumor was performed without reconstructing dural sinuses. The patient was discharged home without new neurological deficit. Histopathology was in favor of a hemangiopericytoma Grade II World Health Organization (WHO). Total body positron emission tomography [F]fluorodeoxyglucose found no secondary location. Radiotherapy was planned post-operatively.

摘要

一名78岁女性因轻度头痛和突然出现的视力模糊前往急诊科就诊。计算机断层扫描和磁共振成像最初显示为侵袭并阻塞窦汇、上矢状窦后三分之一及右侧横窦近端的脑膜瘤。在未重建硬脑膜窦的情况下对肿瘤进行了全切除。患者出院时无新的神经功能缺损。组织病理学结果支持世界卫生组织(WHO)II级血管外皮细胞瘤的诊断。全身正电子发射断层扫描[F]氟脱氧葡萄糖检查未发现其他转移部位。计划术后进行放疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3ce/10499534/ce0a1a085520/CRIS2023-2349363.001.jpg

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