發(fā)布時間：2018-03-28 06:02

  本文選題：復(fù)發(fā)腦膜瘤　切入點：臨床病理　出處：《廣東醫(yī)學》2017年24期

【摘要】：目的探討復(fù)發(fā)腦膜瘤的病理變化及預(yù)后轉(zhuǎn)歸。方法回顧性分析影像學和(或)手術(shù)診斷為復(fù)發(fā)的腦膜瘤病例臨床資料,從患者年齡、性別、腫瘤復(fù)發(fā)病理及預(yù)后等方面進行分析。結(jié)果在845例腦膜瘤患者中發(fā)現(xiàn)復(fù)發(fā)57例;患者平均年齡為(48.9±10.6)歲;女28例,男29例。34例原發(fā)WHOⅠ級腦膜瘤復(fù)發(fā),其中12例復(fù)發(fā)病理惡性進展,3例死亡,13例原發(fā)病理WHOⅡ級腦膜瘤復(fù)發(fā),其中4例復(fù)發(fā)病理進展為WHOⅢ級,4例死亡,10例原發(fā)WHOⅢ級復(fù)發(fā),6例死亡,單因素分析復(fù)發(fā)腦膜瘤的WHO病理級別、Ki-67、術(shù)后放療等與其生存預(yù)后密切相關(guān)。結(jié)論腦膜瘤復(fù)發(fā)可以出現(xiàn)惡性進展,導(dǎo)致預(yù)后不良,應(yīng)根據(jù)病理級別等采取個體化治療,通過手術(shù)和(或)包括伽馬刀治療的放療等綜合治療,可以獲得較好效果。
[Abstract]:Objective to investigate the pathological changes and prognosis of recurrent meningiomas. Methods the clinical data of patients with recurrent meningiomas diagnosed by imaging and / or surgery were retrospectively analyzed. Results in 845 cases of meningioma, 57 cases of recurrence were found, the average age of the patients was 48.9 鹵10.6 years old, 28 cases of female and 29 cases of male, 29 cases of primary WHO grade 鈪，

本文編號：1675047