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[脑内胶质母细胞瘤与纤维肉瘤伴化生骨形成——病例报告]

[Glioblastoma and fibrosarcoma in the brain with metaplastic bone formation--a case report].

作者信息

Nakamura O, Yamamoto H, Teramoto A, Takakura K, Nagashima K

出版信息

No To Shinkei. 1983 Dec;35(12):1185-90.

PMID:6422966
Abstract

The authors report a case in which left deep temporal fibrosarcoma with calcified area developed about 6 months after radiation therapy for left temporal astrocytoma. A 37 year-old woman was admitted to our clinic because of headache and visual deterioration. CT scan and angiography suggested left deep temporal glioma and on August 5, 1980, partial resection was performed. Histological sections showed astrocytoma G 2. Postoperative course was uneventful and she left the hospital after radiation therapy of 50 Gy. On March, 1981, right hemiparesis was noticed and progressed rapidly. CT scan suggested left temporal tumor recurred. On March 30, 1981, second operation was performed and this time, histological sections showed glioblastoma. After operation, beta-Interferon (IFN) was given intratumorally via Ommaya's reservoir (3 X 10(6) IU, daily). But in spite of IFN therapy, tumor became larger and she died on June 30, 1981. Autopsy revealed coexistence of glioblastoma and fibrosarcoma with metaplastic bone formation. A brief discussion concerning the problem of cerebral mixed tumors follows the description of the case.

摘要

作者报告了一例病例,患者在接受左颞星形细胞瘤放射治疗约6个月后发生了伴有钙化区域的左颞深部纤维肉瘤。一名37岁女性因头痛和视力减退入住我院。CT扫描和血管造影提示左颞深部胶质瘤,1980年8月5日进行了部分切除术。组织学切片显示为二级星形细胞瘤。术后过程顺利,她在接受50 Gy放射治疗后出院。1981年3月,发现右侧偏瘫并迅速进展。CT扫描提示左颞部肿瘤复发。1981年3月30日进行了第二次手术,这次组织学切片显示为胶质母细胞瘤。术后,通过Ommaya储液器向瘤内注射β-干扰素(3×10⁶IU,每日)。但尽管进行了干扰素治疗,肿瘤仍增大,患者于1981年6月30日死亡。尸检发现胶质母细胞瘤和纤维肉瘤并存,并伴有化生骨形成。病例描述之后是关于脑混合性肿瘤问题的简要讨论。

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