摘要
目的探讨复发胶质瘤与放射性脑损伤的差异性及相应的处理方法。方法回顾性分析南京医科大学附属苏州医院收治的1例误诊为胶质瘤复发的放射性脑损伤患者的临床资料;并复习相关文献。结果行手术切除患者的脑部病灶,术后经病理学检查证实为放射性脑损伤,而非胶质瘤复发。结论脑胶质瘤复发与放射性脑损伤的鉴别需要通过多种手段来提升其诊断的准确性及可靠性,需针对不同病因选择合适的处置方式,以获得更好的疗效。
Objective To investigate the difference between recurrent glioma and radiation injury, and the corresponding therapeutic method. Methods The clinical date of a patient with radiation necrosis misdiagnosed as recurrent glioma was analyzed retrospectively and literature was reviewed. Results The patient appeared like recurrent glioma was proved to be radiation necrosis by pathology exanfination finally. Conclusions Methods that taken to distinguish recrudescent glioma from radiation necrosis should be improved to elevate the precision and reliability. Specific therapeutic strategies are required to ameliorate the patients' outcome.
作者
唐晓宇
吴刚
成之奇
丁志良
阮文华
邓朋
马冕
吴建东
TANG Xiao-yu;WU Gang;CHENG Zhi-qi;WU Jian-dong(Department of Neurosurgery,The Affiliated Suzhou Hospital of Nanjing Medical University,Suzhou 215000,China;Corresponding author)
出处
《临床神经外科杂志》
CAS
2018年第5期387-390,共4页
Journal of Clinical Neurosurgery
基金
苏州市"科教兴卫"青年科技项目(KJXW2017029)
关键词
复发性脑胶质瘤
鉴别诊断
放射性损伤
影像学
recurrent glioma
differential diagnosis
radiation injury
radiography