脉络丛肿瘤

J. Roth, R. Dvir, S. Constantini
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引用次数: 0

摘要

脉络膜丛肿瘤(CPT)相对罕见,包括三种病理亚型:乳头状瘤(CPP)(良性);癌(CPC)(恶性);非典型乳头状瘤(ACPP)(中级)。大多数CPT病例发生在儿童早期和婴儿期;然而,在所有儿科年龄段以及成年期均有记录。CPT的主要治疗方法是手术,目的是在所有亚型的CPT完全切除。CPT的位置和血管分布是一个特殊的手术挑战。手术切除CPP可治愈。恶性CPC时,需要辅助化疗。放射治疗的作用是有争议的。一部分CPT患者携带生殖系或体细胞TP53突变,其特征是肿瘤侵袭性更强,生存率降低。
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Choroid plexus tumours
Choroid plexus tumours (CPT) are relatively rare and include three pathological subtypes: papilloma (CPP) (benign); carcinoma (CPC) (malignant); atypical papilloma (ACPP) (intermediate). Most cases of CPT occur during early childhood and infancy; however, occurrence at all paediatric ages as well as adulthood has been documented. The main treatment of CPT is surgical, aiming for complete resection in all subtypes of CPT. The location and vascularity of CPT present a special surgical challenge. Surgical excision of CPP can be curative. In the malignant CPC form, adjuvant chemotherapy is indicated. The role of radiotherapy is controversial. A subset of patients with CPT harbour germline or somatic TP53 mutations characterized by greater tumour aggressiveness and decreased survival.
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