脊髓血管母细胞瘤的治疗策略.pdf

Treatment Strategy of Spinal cord hemangioblastoma Neurosurgery department Ward 3 2016/10/15 Beijing Tiantan Hospital, Capital Medical University 1 마스터제목스타일편집 Spinal cord hemangioblastoma Spinal cord hemangioblastomas account for about 1–5 % of all intramedullary tumors Originate from embryonic remnant tissues of mesodermal origin. Commonly occurs in young adults aged 30– 40 years, with some patients having a positive family history. ‹#› 마스터제목스타일편집 Spinal cord hemangioblastoma Hemangioblastomas of the posterior fossa(7- 10%) are more common than those affecting the spinal cord . Because of the highly vascularized nature of the tumor and its location in the spinal cord, surgery is very difficult and risky, which results in poor prognosis, especially for upper cervical spinal cord tumors. ‹#› 마스터제목스타일편집 治疗  囊性(cystic)血管网状细胞瘤只切除小的肿瘤结节 ，无需切除囊壁  实性(solid)血管网状细胞瘤要切除整个瘤体 ‹#› 마스터제목스타일편집 2015年神外三病种分布图 其他髓内占位：5% 其他：3% 其他髓外占位： 神经鞘瘤：26% 10% （表）皮样囊肿： 5% 血网及血管畸形： 3% 畸胎瘤：4% 室管膜瘤：13% 寰枕畸形：20% 脊膜瘤：10% 共计717例 ‹#› 마스터제목스타일편집 case1 ➢ A 50-year-old man , The left hand nu