Hoya K, Usui M, Sugiyama Y, Nagashima K
Department of Neurosurgery, Aizu Central Hospital, Aizuwakamatsu, Japan.
Childs Nerv Syst. 1996 Sep;12(9):556-8. doi: 10.1007/BF00261611.
We report a case of cranial fasciitis in a 14-month-old boy. The lesion grew at the site of a previous head trauma, rapidly destroying the skull. Surgery disclosed that the lesion was highly vascular and adhered to the dura. Because histopathological study of a frozen section did not show malignancy, the authors decided not to perform dural excision after total removal of the lesion. No recurrence of the lesion was seen. The authors stress that this rate fibroblastic lesion must be included in the differential diagnosis of pediatric skull tumors and that careful histopathological observation is needed to avoid extensively invasive surgery.
我们报告一例14个月大男孩的颅骨筋膜炎。病变发生于既往头部外伤部位，迅速破坏颅骨。手术发现病变血管丰富，与硬脑膜粘连。由于冰冻切片的组织病理学研究未显示恶性特征，作者在完全切除病变后决定不进行硬脑膜切除。未见病变复发。作者强调，这种纤维母细胞性病变必须纳入小儿颅骨肿瘤的鉴别诊断，并且需要仔细的组织病理学观察以避免进行广泛的侵入性手术。
