颅内共存肿瘤的诊治分析(附4例报道并文献复习)

Diagnosis and treatment of coexisting intracranial tumors:report of 4 cases and review of literature

目的探讨颅内共存肿瘤的诊断、治疗及预后。方法回顾性分析4例颅内共存肿瘤的临床资料,并复习相关文献。结果3例行手术治疗,病理证实为脑膜瘤合并垂体腺瘤、颅咽管瘤、胶质瘤各1例,均与术前影像诊断一致,术后正常生活;1例术前考虑为脑膜瘤合并胶质瘤,未行手术治疗。结论颅内共存肿瘤需进行充分的术前评估,大多可明确诊断,设计合理的手术方案,可获得良好的治疗效果,其预后主要取决于病变性质。

Objective To investigate the pre-operative diagnosis,treatment and prognosis of the coexisting intracranial tumors.Methods The clinical data of 4 patients with coexisting intracranial tumors were analyzed retrospectively.Results Three patients underwent surgical treatment.The postoperative pathological examination showed that the meningiomas were accompanied with pituitary tumor,craniopharyngioma and glioma respectively in 3 patients.The pathological diagnosis was consistent with the preoperative imaging diagnosis.The postoperative patients lived normally.The meningioma was accompanied with glioma was considered according to the CT and MRI findings in 1 patient without surgical treatment.Conclusions The diagnosis can be definitely made by the imaging examination in most of the patients with coexisting intracranial tumors.The design of a reasonable surgical plan may result in a good therapeutic effect.The prognosis depends mainly on the nature of the disease in the patients with coexisting cranial tumors.