血管母细胞瘤

Donald McArthur, A. Natalwala
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引用次数: 0

摘要

血管母细胞瘤是一种少见的良性肿瘤,主要发生在中枢神经系统的幕下结构。这些肿瘤中约有30%与Von Hippel-Lindau综合征相关,如果误诊,可导致疾病快速进展和显著的发病率和死亡率。完全手术切除是主要的治疗方法,但其他技术包括立体定向放射手术在本章中进行了描述。由于这些患者临床表现的多样性,Von Hippel-Lindau (VHL)的筛查、最佳时机和治疗方式仍然存在争议。本章还概述了管理血管母细胞瘤患者的一般原则和影响预后的因素。
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Haemangioblastoma
Haemangioblastomas are rare and benign tumours which favour the infratentorial structures in the central nervous system. Around 30% of these tumours are associated with Von Hippel-Lindau syndrome, which if the diagnosis is missed can lead to rapid disease progression and significant morbidity and mortality. Complete surgical resection is the main treatment but other techniques including stereotactic radiosurgery are described in this chapter. Screening for Von Hippel-Lindau (VHL), the optimal timing, and mode of treatment remain controversial due to the diversity of clinical presentation in these patients. This chapter also outlines the general principles of managing patients with haemangioblastomas and the factors which impact on prognosis.
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