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[脑肿瘤的尸检定位。第一部分:颞叶肿瘤]

[Localization of brain tumors in autopsy. Part I: Tumors of the temporal lobe].

作者信息

Schreiber D, Warzok R

出版信息

Zentralbl Neurochir. 1981;42(4):241-50.

PMID:7340311
Abstract

Among the 54946 post-mortem examinations carried out by the Pathological Institute of the Medical Academy of Erfurt in the years 1953 to 1976 with a total of 1491 DNS-tumours (2.7%), the temporal lobe was involved in the following 10 types of tumours: glioblastoma, ependymoma, oligodendroglioma, plexus papilloma, tumour-like gliosis, sarcoma, angioma and angioblastoma, epidermoid tumour, teratoma. Only tumours that had formed in the cerebral tissue proper were evaluated, so that meningiomas and other tumours of the meninges or tumours of the meninges in the middle cranial fossa were left out of consideration. In a total of 949 cases of the above mentioned 10 tumours types, the temporal lobe was involved in 327 (34.5%) cases; these were mainly astrocytomas and glioblastomas (86.5%). Only 63 of the 327 tumours (19.3%) were exclusively located in the temporal lobe. The age peak of the occurrence of temporal lobe tumours was in the 6th decennium. The male showed with 55.4 per cent a slightly greater incidence. CLinically, the left-sided temporal lobe tumours with 79 per cent of the observations were found more frequently than the right-sided ones (67%). Accordingly, left-sided tumours were operated on more frequently (49%) than tumours on the right-hand side (40%).

摘要

1953年至1976年间,爱尔福特医学院病理研究所进行了54946例尸检,其中共有1491例DNS肿瘤(占2.7%)。在以下10种肿瘤中发现颞叶受累:胶质母细胞瘤、室管膜瘤、少突胶质细胞瘤、丛状乳头状瘤、肿瘤样胶质增生、肉瘤、血管瘤和血管母细胞瘤、表皮样肿瘤、畸胎瘤。仅评估在脑组织本身形成的肿瘤,因此脑膜瘤和其他脑膜肿瘤或中颅窝脑膜肿瘤未被考虑在内。在上述10种肿瘤类型的总共949例病例中,颞叶受累的有327例(占34.5%);这些主要是星形细胞瘤和胶质母细胞瘤(占86.5%)。327例肿瘤中只有63例(占19.3%)仅位于颞叶。颞叶肿瘤发生的年龄高峰在第6个十年。男性发病率略高,为55.4%。临床上,左侧颞叶肿瘤的观察发现率为79%,高于右侧(67%)。相应地,左侧肿瘤的手术切除率(49%)高于右侧肿瘤(40%)。

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