Komata T, Takahashi S, Konno K, Iwanaga K, Takahashi H
Department of Neurosurgery, Suibarago Hospital, Niigata, Japan.
Neurol Med Chir (Tokyo). 1994 Mar;34(3):180-2. doi: 10.2176/nmc.34.180.
A 65-year-old female presented with a rare intestinal leiomyosarcoma metastasis to the skull manifesting as a mass beneath the scalp. She was free of neurological and physical symptoms on admission. The tumor was totally removed with normal surrounding bone and dura. The histological diagnosis was leiomyosarcoma. Ultrastructural and immunohistochemical studies demonstrated the smooth muscle origin of the tumor. Such patients in good physical condition should be immediately treated surgically to achieve the best chance of survival.
一名65岁女性因罕见的肠道平滑肌肉瘤转移至颅骨,表现为头皮下肿块。入院时她没有神经和身体症状。肿瘤连同周围正常的骨骼和硬脑膜被完全切除。组织学诊断为平滑肌肉瘤。超微结构和免疫组织化学研究证实了肿瘤的平滑肌起源。身体状况良好的此类患者应立即接受手术治疗,以获得最佳生存机会。