临床神经外科杂志2019，Vol.16Issue(4)：346-350,5.DOI:10.3969/j.issn.1672-7770.2019.04.014
囊性脑膜瘤的影像、病理学特点及误诊原因研究
Imaging and pathological features and misdiagnosis causes of cystic meningioma
摘要
Abstract
To explore the imaging and pathological features , misdiagnosis and surgical treatment of of cystic meningioma.Methods The clinical data of 11 patients of cystic meningioma with pathologic confirmation in the First Affiliated Hospital of XinJiang Medical University were analyzed retrospectively.The clinic and telephone follow-up were conducted. Results Of 11 patients,7 were misdiagnosed as glioma , 3 metastatic tumor and 1 angioblastoma preoperatively.Zee classification showed typeⅠin 2 cases, typeⅡin 8 and typeⅢin 1.All cases were performed surgery.Of 11 patients, 5 received Simpson I excision , 6 simpsonⅡresection and 5 were followed with postoperative gamma knife radiotherapy.Pathological results showed 8 cases were angiomatous meningioma WHO Ⅰgrade and 3 cases were atypical meningioma WHO Ⅱgrade. Postoperative symptoms were improved in 9 cases, with no change in 1 and deterioration in 1.The follow-up period lasted from 6 months to 3 years.11 patients survived and 1 experienced recurrence of tumor.Conclusions Cystic meningioma is rare and easy to be misdiagnosed preoperatively. Understanding its imaging manifestations and pathological types is helpful for diagnosis and treatment .关键词
囊性脑膜瘤/影像学/病理学/误诊/手术治疗Key words
cystic meningioma/image/pathology/misdiagnosis/surgical treatment分类
医药卫生引用本文复制引用
付强,陈培培,李绍山,魏康康,王增亮,刘波,周庆九..囊性脑膜瘤的影像、病理学特点及误诊原因研究[J].临床神经外科杂志,2019,16(4):346-350,5.基金项目
国家自然科学基金(81801232) （81801232）
