颈髓内畸胎瘤2例及文献回顾

CERVICAL INTRAMEDULLARY SPINAL TERATOMA: A REPORT OF 2 CASES AND A LITERATURE REVIEW

为探讨颈髓内畸胎瘤的临床表现及手术治疗 ,分析 2例颈髓内畸胎瘤的临床资料并复习有关文献。结果表明 ,颈髓内畸胎瘤患者颈椎平片多见颈椎骨性畸形 ,MRI检查肿瘤多为混杂信号影 ,术中见肿瘤呈囊实性 ,可有骨及软骨成分 ,肿瘤全切困难 ,可次全切除。结合病例及文献 ,作者认为颈椎平片及MRI对颈髓内畸胎瘤有定性及定位意义 。

To discuss the clinical situation and treatment of cervical intramedullary spinal teratoma, two cases of it in our department were presented, and the related literatures were reviewed. A concomitant anomaly of the cervical vertebral canal was found to be accompanied by cervical intramedullary spinal teratoma. MRI showed the tumors with mixed signal intensity. During operation the tumor was found to have both cysts and hard bony nodules. It was very difficult to remove the total tumor. It is concluded that the plain film of cervical vertebra and cervical spine MRI are sensitive to differentiate teratomas from other tumors. Surgery should be the first choice for treatment.