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儿童恶性后半规管肿瘤的治疗:II. 后半规管肿瘤术前及术后辅助化疗的初步结果

The treatment of malignant scala posterior tumors in children: II. Preliminary result of the pre- and postoperative adjuvant chemotherapy of scala posterior tumors.

作者信息

Schuler D, Somló P, Koós R, Kálmánchey R, Paraicz E

机构信息

Department of Pediatrics No. II, Semmelweis, University Medical School, Budapest, Hungary.

出版信息

Med Pediatr Oncol. 1993;21(4):274-9. doi: 10.1002/mpo.2950210408.

Abstract

Ten children with posterior scala tumor infiltrating the surrounding brain substance and/or the brain stem entered in the present study with preoperative chemotherapy. In 8 of the 10 cases regression and necrosis of the tumor were seen by CT examination after the preoperative therapy. The diameter of the tumor decreased on the average by 35.6% (14.0-74.3%). The main side effect was granulocytopenia. According to our observation, the preoperative therapy enables a more radical surgery in some cases of medulloblastoma and ependymoma. Further observations are necessary to confirm these preliminary results.

摘要

本研究纳入了10例伴有后颅窝肿瘤浸润周围脑实质和/或脑干的儿童,进行术前化疗。10例中的8例在术前治疗后经CT检查可见肿瘤消退和坏死。肿瘤直径平均缩小35.6%(14.0 - 74.3%)。主要副作用是粒细胞减少。根据我们的观察,术前治疗在某些髓母细胞瘤和室管膜瘤病例中能使手术更彻底。需要进一步观察以证实这些初步结果。

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