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胸椎硬膜外慢性炎症性病变:病例报告及文献复习。

Thoracic Epidural Chronic Inflammatory Lesion: A Case Report and Review of Literature.

机构信息

Department of Neurosurgery and Gamma Knife Surgery, P. D Hinduja Hospital and MRC, Mahim, Mumbai, Maharashtra, India.

Department of Pathology, P. D Hinduja Hospital and MRC, Mahim, Mumbai, Maharashtra, India.

出版信息

Neurol India. 2024 May 1;72(3):629-631. doi: 10.4103/ni.ni_1052_21. Epub 2024 Jun 30.

DOI:10.4103/ni.ni_1052_21
PMID:39041985
Abstract

Chronic inflammatory lesions (CIL) in the body are rare and inflammatory pseudotumor (IPT) is a subtype of CIL. Spine is an uncommon location of CIL, with most cases reported in the thoracic spine. Our objective was to review the current literature on IPT. To the best of our knowledge only about 13 cases are reported till date. A retrospective review of 13 existing cases was done. The etiopathogenesis of CIL is uncertain and total surgical excision remains the mainstay. It's a diagnosis of exclusion after ruling out commonly found lesions, both clinically and radiologically. Only histopathology can confirm the diagnosis. Total surgical resection remains the mainstay of treatment with adjuvant treatment only if there is a residue or a recurrence. CILs are rare lesions in the body with IPT being the commonest. Surgical excision remains the mainstay of treatment and a long-term follow up is warranted.

摘要

体内慢性炎症性病变 (CIL) 较为罕见,炎性假瘤 (IPT) 是 CIL 的一个亚型。脊柱是 CIL 的罕见部位,大多数病例发生在胸椎。我们的目的是回顾目前关于 IPT 的文献。据我们所知,迄今为止仅报道了约 13 例。我们对 13 例现有病例进行了回顾性分析。CIL 的病因学尚不确定,全切除手术仍然是主要治疗方法。这是一种排除性诊断,在排除了临床上和影像学上常见的病变后才能做出诊断。只有组织病理学才能确诊。全切除手术仍然是治疗的主要方法,如果有残留或复发,则需要辅助治疗。CIL 是一种罕见的病变,IPT 是最常见的。手术切除仍然是治疗的主要方法,需要长期随访。

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