Parker A P, Robinson R O, Bullock P
Newcomen Centre, Guy's Hospital, London.
Arch Dis Child. 1996 Sep;75(3):204-7. doi: 10.1136/adc.75.3.204.
Thirteen children with intrinsic spinal cord tumours were seen between 1984 and 1995. In only one was this the presumptive diagnosis at referral, despite a high incidence of characteristic features. Eight had presented to their local paediatrician, four to local orthopaedic teams, and one to a general surgeon. Eleven had back pain. Eleven had either spinal curvature or change in gait. The interval between onset of symptoms and diagnosis ranged from one week to six years, with a mean of 17.5 months. In nine children symptoms had been present for four or more months. In nine, unrewarding investigations had been carried out. This paper highlights typical presenting features of these tumours and how earlier diagnosis can be achieved.
1984年至1995年间共诊治了13例脊髓原发性肿瘤患儿。尽管特征性表现发生率很高，但转诊时只有1例被初步诊断为此病。8例患儿最初是由当地儿科医生诊治，4例由当地骨科团队诊治，1例由普通外科医生诊治。11例有背痛。11例有脊柱侧弯或步态改变。症状出现至诊断的间隔时间为1周~6年，平均17.5个月。9例患儿症状已持续4个月或更长时间。9例患儿曾接受过无果的检查。本文着重介绍了这些肿瘤的典型临床表现以及如何实现早期诊断。
