颅内血管外皮细胞瘤合并肺多发转移1例(附文献复习).pdfVIP

Chin J Clin Neurosci 2008 , 16 (匀， 481-485 .481. 巴士号: 颅内血管外皮细胞瘤合并肺多发转移 1 例(附文献复习) 郑佳骏 l ，来怡农2 ，王知秋1 ，陈衔诫 1 ，黄峰平1 c 复旦大学附属华山医院神经外抖2ω040， 2 定西市人民医院神经外科 743000) 关键词血管外皮细胞瘤:颅内肿瘤:肺郁肿瘤:转移灶 摘要 目的:探讨血管外皮细胞瘤(HP凹的临床、病理、影像学特征Ed台疗方怯。方法:分析1 例颅内 HPC 复发合 并肺多发转移病例并结合文献复习予以探忡。结果:颅内 HPC 复发合并肺多发转移病例临床罕见。影像学表现与脑 腰瘤易说槽， M阳表现为丁lWI 等低信号，T2WI 不均匀等高信号，多可见硬幌尾征和血管施空信号。病理学特点 为梭形细胞，小血管鹿角样分宠。本病是少数可转移造中岖神经系统以外的颅内原发肿瘤，有复发和转移倾向。病灶 切除$.彻底，并辅以放疗。结论:颅内HPC 是一种具有高复发率和易发生颅外转移的肿瘤，包括颅阳和肺、骨、肝 等R::易转移靶器官。 Intracranial Hemangiopericytoma with Pulmonary Metastasis:A Case Report(Literature Review) l l l ZHENG Jia-Jun , 1Al Yi-Nonl, WANG Zhi-Qiu , CHENXian ,…Cheng , HUANG Feng-Pini ID叩artment of Neurosurgery , Huashan Hospital , Fudan University , Shanghai 2αXJ40; 2Department of Neurosurgery , Dingxi Municipal Peoples Hospital , Gansu 743ω0， China KEY WORDS hemangiopericytoma; intracranial tumor; pulmonary tumor; metastasis ABSTRACT Aim: To study on clinical,patholo，回cal， radiological feature and treament ofthe heman回opericytoma (HPC). Methods: A case of intracranial hemangiopericytoma recurrence with pulmonary metastasis was reported, and literature嗡 were reviewed. Results: Intracranial hemangiopericytoma recurrence with pulmon缸y multiple metastasis is rare. HPCs are usually misdiagnosed as meningiomas in radiological fmdings. MRI: Hypo-ìsointensity on T1 WI ,heterogeneous iso-hyperintensity on T2WI ,a dural tail si伊and vascular void flow can be found in MR images.ηle spìndle tumor cells and antler-like ramification can be found in pa血。10即­ Intracranial HPC is one of the rare primary intracranial tumors which can metastasize outside of tl1e central nervous system. 机le character of recurrence and metastasis of the