A rare invasive hemangioma in cauda equina
A rare invasive hemangioma in cauda equina
复制标题
马尾罕见侵袭性血管瘤
DOI：
10.1007/s00586-017-5028-4
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发表时间：
2017-03
期刊：
影响因子：
--
通讯作者：
NANA SHEN
中科院分区：
文献类型：
--
作者：
BOHUA CHEN;HONGFEI XIANG;NANA SHEN
目的马尾区典型血管瘤边缘较清楚已有报道，但马尾区不典型血管瘤侵犯、浸润、增大至所有神经根未见报道。本文报告1例马尾部侵袭性血管瘤，分析其影像学表现及治疗方法。结果本组病例均行放射治疗，术后病理证实，MRI及术中摄片均显示病灶，边界不清（5400 cGy/25次/5周），并继续在临床上处于良好状态，随访MR后24个月没有进一步的surgical.ConclusionsSurgery可能是第一个管理方式血管瘤严重或进行性神经功能缺损，根据准确的组织病理学诊断，放射治疗可能是治疗血管瘤的替代疗法。
PurposeTypical hemangioma of cauda equina with relative clear margin has been described in some case reports, but atypical hemangioma with invasion, infiltration, and augmentation of all nerve roots in the cauda equina area has never been reported. In this paper, we reported a rare case with invasive hemangioma in cauda equina, and analyzed its radiological appearance and treatment.MethodsWe described an atypical case of hemangioma, which was revealed by MR and intraoperative photograph without clear margin and confirmed by histopathologic diagnosis.ResultsThe patient was received radiotherapy (5400 cGy/25f/5w) and continued to be clinically in good condition with follow-up MR after 24 months without further surgery.ConclusionsSurgery may be the first management modality for hemangiomas with severe or progressive neurologic deficits, and radiotherapy may be an alternative therapy to treat hemangiomas according to accurate histopathologic diagnosis.
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