摘要
目的:探讨原发性脊髓恶性黑色素瘤的临床特点。方法:报告1例原发性脊髓恶性黑色素瘤的临床、病理及影像资料,并结合文献,对该罕见病的临床诊断、影像学、组织病理及治疗等作一复习。结果:MRI显示肿瘤位于C3、4椎体水平硬膜内外肿瘤。手术证实为髓外硬膜内外肿瘤。组织病理为恶性黑色素瘤。结论:恶性黑色素瘤发病率低,磁共振检查具有特异性,手术治疗、放疗及免疫治疗效果不佳,预后差。
Objective:To study the clinical characteristics of primary spinal malignant melanocytoma. Methods: The clinical, histological and radiological data of a case of primaty spinal malignant melancytoma were reported. The literatures about primary spinal melanocytoma were reviewed in discussion. Results :The MR1 appeared that the spinal lesion occurred at C3-C4 with extension in the paraspinal region. Observed in operation ,the turner was located in the spinal canal. Histopathology of the lesion showed a meningeal melanocytoma. Conclusion:Meningeal melanocytoma is an extremely rare tumor ,the magnetic resonance imaging appearance of melanocytoma is characteristic. Surgery resection,radiotherapy and chemotherapy is not effectiveness. The prognosis is very poor.
出处
《中国误诊学杂志》
CAS
2005年第11期2009-2011,共3页
Chinese Journal of Misdiagnostics
关键词
黑色素瘤/诊断
脊髓肿瘤/诊断
磁共振成像
Melanoma/diagnosis
Spinal cord neoplasms/diagnosis
Magnetic resonance imaging