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[脑肿瘤的特殊病理学问题]

[Problem of the special pathology of brain tumors].

作者信息

Warzok R, Güthert H, Schreiber D

出版信息

Zentralbl Neurochir. 1977;38(1):11-8.

PMID:921843
Abstract

The post-mortem material of the Erfurt Pathological Institute covering the period from 1953 to 1975 included 1376 primary tumours of the central nervous system, which corresponds to 2.6 per cent of all autopsies and 9.6 per cent of the autospies for malignant tumours. Thus, tumours of the central nervous system show the same frequency as leukoses and lymphomas and tumours of the female genitals and range before the tumours of the colon. The age distribution confirms well known conditions, but shows as apecu liarity that in infancy cerebral tumours occur just as frequently as in childhood and that the frequency of the occurrence of meningiomas before and after the 60th year of life is practically the same; but after that time they are clinically diagnosed in a distinctly less frequent number. Wrong clinical diagnoses were made in 23.5 per cent of the observations. Finally, it is pointed out that the intraoperative picture of the tumours may be misleading and only histological examinations will be helpful.

摘要

爱尔福特病理研究所1953年至1975年期间的尸检材料包括1376例中枢神经系统原发性肿瘤,占所有尸检的2.6%,占恶性肿瘤尸检的9.6%。因此,中枢神经系统肿瘤的发生率与白血病、淋巴瘤以及女性生殖器肿瘤相同,排在结肠肿瘤之前。年龄分布证实了众所周知的情况,但有一个特殊之处,即婴儿期脑肿瘤的发生率与儿童期相同,60岁之前和之后脑膜瘤的发生率实际上相同;但在那之后,临床诊断出的脑膜瘤数量明显减少。在23.5%的观察病例中做出了错误的临床诊断。最后指出,肿瘤的术中表现可能会产生误导,只有组织学检查才会有帮助。

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