吉林大学学报(医学版) ›› 2017, Vol. 43 ›› Issue (06): 1256-1259.doi: 10.13481/j.1671-587x.20170635

• 临床医学 • 上一篇    下一篇

原发性颅内软骨肉瘤2例报告及文献复习

金凯, 赵刚, 王育波, 张帅, 王东东   

  1. 吉林大学第一医院神经肿瘤外科, 吉林 长春 130021
  • 收稿日期:2017-03-22 出版日期:2017-11-28 发布日期:2017-12-01
  • 通讯作者: 赵刚,教授,博士研究生导师(Tel:0431-81875709,E-mail:2956896370@qq.com) E-mail:2956896370@qq.com
  • 作者简介:金凯(1991-),男,浙江省湖州市人,在读医学硕士,主要从事神经肿瘤方面的研究。
  • 基金资助:
    吉林省财政厅科研基金资助课题(2016swszx031);吉林省科技厅科技发展计划项目资助课题(20160101086JC)

Primary intracranial chondrosarcoma:A report of 2 cases and literature review

JIN Kai, ZHAO Gang, WANG Yubo, ZHANG Shuai, WANG Dongdong   

  1. Department of Neural Tumor Surgery, First Hospital, Jilin University, Changchun 130021, China
  • Received:2017-03-22 Online:2017-11-28 Published:2017-12-01

摘要: 目的:分析2例原发性颅内软骨肉瘤患者的临床资料,提高对该病的认识和管理。方法:患者1因左眼动眼神经瘫入院,术前考虑为颅咽管瘤,术后给予放疗。患者2因视力下降入院,术前考虑为脊索瘤,行肿瘤大部分切除。结果:2例患者术后病理均证实为软骨肉瘤。患者1术后症状缓解,随访至今未见明显进展;患者2术后第10天因发生严重颅内感染而死亡。结论:原发性颅内软骨肉瘤术前极易误诊,需通过术后病理确诊,手术是首选治疗方案,术后辅以放疗可以取得较好疗效。

关键词: 脊索瘤, 病例报告, 原发性颅内软骨肉瘤, 颅咽管瘤

Abstract: Objective:To analyze the clinical data of 2 patients with primary intracranial chondrosarcoma, and to improve its climical awareness and management. Methods:One patient admitted to the hospital because of his left eye with oculomotor palsy,and he was considered as craniopharyngioma before operation and received radiotherapy after operation. The other patient admitted to the hospital for the vision loss,and he was considered as chordoma and received subtotal resection. Results:Both two patients were confirmed as chondrosarcoma by postoperative pathological examination. One patient's clinical symptoms relieved after operation, and there was no obvious progress from the begining of follow-up to now; the other patient died of severe intracranial infection on the 10th day after operation. Conclusion:Primary intracranial chondrosarcoma is easy to be misdiagnosed before operation and needs to be confirmed by postoperative pathology. Operation is the first choice for its treatment, and the postoperative radiotherapy can achieve the good results.

Key words: primary intracranial chondrosarcoma, cranipharyngioma, chordoma, case report

中图分类号: 

  • R738.3