摘要
目的探讨颅内原发性恶性脑膜瘤的诊断与治疗。方法6例原发性颅内恶性脑膜瘤术前均进行了CT和(或)MRI检查,随后均经手术治疗,术后均由病理检查确诊,结合相关文献对其诊断和治疗进行讨论。结果5例恶性脑膜瘤全切除,1例次全切除。病理检查结果均为恶性脑膜瘤,WHOⅡ级4例,WHOⅢ级2例。结论恶性脑膜瘤的临床表现和影像学特征与良性脑膜瘤无显著不同,术前诊断有一定难度,确诊需根据病理学检查。恶性脑膜瘤的治疗以手术切除为主,术后放疗可以延缓肿瘤复发。
Objective To explore the diagnosis and treatment of primary intracranial malignant meningioma. Methods Preoperative CT and/or MRI were done in six patients with primary malignant meningioma, all of them underwent surgery and confirmed pathologically. The diagnosis and therapy were discussed with a review of literature for this association. Results Five patients received total resection and one subtotal procedure. All were confirmed as malignant by pathology, in which, grade Ⅱ in four cases and grade Ⅲ in two based on WHO classification. Conclusion There is a certain difficulty in preoperative diagnosis of malignant meningioma because there are no significant differences in clinical manifestations and imaging features between the malignant and benign. The confirmation depends on histology. Surgery is the first choice, and postoperative radiotherapy can delay its recurrence.
出处
《齐鲁医学杂志》
2009年第5期411-412,415,共3页
Medical Journal of Qilu
关键词
脑膜瘤
诊断
治疗
Meningioma
Diagnosis
Therapy
