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成人室管膜瘤的临床病理特点和预后分析

发布时间:2018-11-26 13:08
【摘要】:目的探讨室管膜瘤的临床病理特点和预后。方法分析42例成人室管膜瘤的临床病理特点,对获得随访的25例患者进行预后分析。结果男性13例,女性29例,平均年龄42岁(18~77岁),发生于幕上4例,幕下17例,脊髓21例。黏液乳头型室管膜瘤(WHOⅠ级)3例,室管膜瘤(WHOⅡ级)27例,间变型室管膜瘤(WHOⅢ级)12例,除2例术后因并发症死亡外,低级别室管膜瘤(WHOⅠ+Ⅱ级)复发率为11.8%(2/17)、病死率为5.9%(1/17);高级别室管膜瘤(WHOⅢ级)复发率为50%(4/8)、病死率为37.5%(3/8)。肿瘤位于幕上的复发率为100%(4/4)、病死率为75%(3/4);肿瘤位于幕下的复发率为16.7%(2/12)、病死率为8.3%(1/12);肿瘤位于脊髓的复发率、病死率均为0。结论室管膜瘤的预后与其病理分级及部位密切相关。
[Abstract]:Objective to investigate the clinicopathological features and prognosis of ependymoma. Methods the clinicopathological features of 42 adult ependymomas were analyzed and the prognosis of 25 cases were analyzed. Results there were 13 males and 29 females with an average age of 42 years (1877 years), which occurred in 4 cases of supratentorial, 17 cases of subtentorial and 21 cases of spinal cord. There were 3 cases of papillary ependymoma (grade WHO 鈪,

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