Broggi G, Franzini A, Migliavacca F, Allegranza A
Childs Brain. 1983;10(2):92-8. doi: 10.1159/000120102.
In 17 patients, 2-16 years old, the clinical and neuroradiological data were unable to give clear-cut information regarding the histology of deep brain neoplasms. The lesions were located within the brain stem in two cases, in the pineal region in two cases, within the third ventricle in two cases, in the sellar and parasellar area in three cases, in the basal ganglia and thalamic region in seven cases, and in the fronto-callosal region in one case. In these patients, serial stereotactic biopsies were performed with the guidance of CT scan in order to assess the nature and the real boundaries of the growths. The choice between conservative or surgical treatment was made after the established histological findings became available. The operative technique of stereotactic biopsy is briefly described and the value of this method is stressed in the treatment of brain tumors in children.
在17例年龄为2至16岁的患者中，临床和神经放射学数据无法提供有关深部脑肿瘤组织学的明确信息。病变位于脑干2例，松果体区2例，第三脑室内2例，鞍区和鞍旁区3例，基底节和丘脑区7例，额胼胝体区1例。对这些患者，在CT扫描引导下进行了系列立体定向活检，以评估肿瘤的性质和实际边界。在确定组织学结果后，再选择保守治疗或手术治疗。本文简要描述了立体定向活检的手术技术，并强调了该方法在儿童脑肿瘤治疗中的价值。
