脈絡叢腫瘤的臨床診治.pdf

1、新疆醫(yī)科大學碩士學位論文脈絡叢腫瘤的臨床診治姓名：李紹山申請學位級別：碩士專業(yè)：外科學(神經外科學)指導教師：柳琛201104新疆醫(yī)科大學碩士學位論文新疆醫(yī)科大學碩士學位論文2DiagnosisTreatmentResearchofChoidplexustumsPostgraduate：LiShaoshanSupervis：Prof.LiuChenAbstractObjective：Toinvestigatethediagnosistr

2、eatmentofChoidplexustumsindertoelevatetherateofdiagnosistotalresectionalsoimprovetheprognosisofpatients.MaterialsMethods：Aretrospectiveanalysisofthecaserecdsof31patientsoperatedfCPTbetiwn2002December2010Octobertheirclini

3、caldatasprognosiswereretrospectivelyanalyzedevaluated.Results：Thestudygroupincluded26(%)casesofchoidplexuspapilloma(CPP)，04(36%)casesofchoidplexuscarcinoma(CPC)1casesofatypicalCPP.Themeanageatpresentationwas37yearsamalep

4、reponderancewasnoted(20：11).Thetumsweredistributedasfollows：lateralventricle(2064%)，fourthventricle(820%)，fourthventriclewithcerebellopontineangleextension(112%)，BrainParenchyma(24%).Acompletesurgicalexcisionwasachievedi

5、n21casesofCPP2casesofCPC.Operativecomplicationsincludepneumocephalus(29%)，subduraleffusion(16%)，persistenthydrocephalusrequiringshunt(3.2%).AllpatientswithCPPhadagoodoutcomeattheendofameanfollowupof6montheto12years，where

6、astheCPChadabadoutcome.Conclusion：CPTsincludeaspectrarangingfromCPPtoCPC.Radiologichistologicacterizationofthesetumsisdifficultnewerimmunohistochemicalgeicstudiesshouldbedonetodifferentiatethemfromeachother.Totalexcision

7、offersagoodprognosisshouldbeattemptedfallfmsofCPTs.CPPscarryagoodprognosis，adjuvanttherapyisnotindicatedevenafterpartialexcision.CPCsatypicalCPCscarryapoprognosis，adjuvanttherapyimprovessurvivalmarginallyaftertotalexcisi