Wurm G, Huber A, Hiertz H, Fischer J, Cervos-Navarro J
Department of Neurosurgery, Wagner-Jauregg-Medical Center, Linz, Austria.
Neurosurg Rev. 1994;17(4):291-4. doi: 10.1007/BF00306820.
Our report describes the uncommon case of a 61 year old female patient who underwent a left parietooccipital craniotomy and extirpation of a malignant tumor. Histological examination revealed a metastatic carcinoma of mammary origin intimately intermingled with a calcified oligodendroglioma WHO II. The preexisting oligodendroglial part had been detected four years before, but since then had been misinterpreted as a glious scar resulting from a previous brain trauma. Three years before neurosurgical intervention, the patient had undergone a left side mastectomy. The histological finding at that time was a solid breast tumor WHO T1N0. The occurrence of cerebral mixed neoplasias and possible causal factors are discussed.
我们的报告描述了一例罕见病例，一名61岁女性患者接受了左顶枕开颅手术并切除了一个恶性肿瘤。组织学检查显示为乳腺来源的转移性癌，与WHO II级钙化少突胶质细胞瘤紧密混合。先前存在的少突胶质细胞部分在四年前就已被发现，但自那时起一直被误诊为先前脑外伤导致的胶质瘢痕。在神经外科干预前三年，患者接受了左侧乳房切除术。当时的组织学检查结果是WHO T1N0期实性乳腺肿瘤。本文讨论了脑混合性肿瘤的发生情况及可能的病因。
