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椎体血管瘤:86例患者的诊断、治疗、自然史及临床病理相关性

Vertebral hemangiomas: diagnosis, management, natural history and clinicopathological correlates in 86 patients.

作者信息

Pastushyn A I, Slin'ko E I, Mirzoyeva G M

机构信息

Department of Spinal Neurosurgery, Romodanov Institute of Neurosurgery, Kiev, Ukraine.

出版信息

Surg Neurol. 1998 Dec;50(6):535-47. doi: 10.1016/s0090-3019(98)00007-x.

DOI:10.1016/s0090-3019(98)00007-x
PMID:9870814
Abstract

BACKGROUND

Vertebral hemangiomas are characterized by diverse clinical histories, radiological features, and results of surgical treatment. It still remains unclear how these differences in clinical behavior relate to pathological type.

METHODS

A retrospective diagnostic, surgical, and histopathological study of 86 consecutive patients with various pathological types of vertebral hemangioma was performed to establish clinicopathological correlates.

RESULTS

The study confirmed that differences exist in clinical course, appearance on imaging, and outcomes in pathological types of hemangiomas. Based on these findings the authors attempted to identify signs characterizing each group.

CONCLUSIONS

Differences in clinical history and radiological features exist among pathological types of vertebral hemangiomas. These differences cannot precisely predict the type pathology before histologic examination, but do help us to understand the natural history of such lesions more fully.

摘要

背景

椎体血管瘤具有多样的临床病史、放射学特征及手术治疗结果。目前仍不清楚这些临床行为差异与病理类型之间的关系。

方法

对86例连续的不同病理类型椎体血管瘤患者进行回顾性诊断、手术及组织病理学研究,以建立临床病理相关性。

结果

该研究证实,血管瘤的病理类型在临床病程、影像学表现及预后方面存在差异。基于这些发现,作者试图确定每组的特征性体征。

结论

椎体血管瘤的病理类型在临床病史和放射学特征方面存在差异。这些差异在组织学检查前不能精确预测病理类型,但有助于我们更全面地了解此类病变的自然病程。

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