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颅内淋巴肉瘤比较罕见,现将我科治疗的1例报告如下。病历摘要患者女,13岁。左侧乳突区肿物进行性增大1年4个月,近4个月伴头痛、呕吐而入院。体检:T37℃,P82次/分,R20次/分,BP110/60 mmHg。全身浅表淋巴结无肿大。心肺(-)。肝脾无肿大。局部见左侧乳突区肿物呈半球状,表面光滑,基底与颅骨相连,直径约5 cm大,皮肤无红肿。神经科检查:双侧眼底视乳头高度水肿,右侧中枢性面瘫,伸舌偏右,其他(-)。化验检查:WBC10300/mm~3,分叶74％,淋巴22％,伊红2％,大单核2％。左侧乳突劳氏位X线拍片提示左侧乳突板障型发育。左侧颈内动脉造影提示左侧中颅凹底占位性病变。在全麻下行左颢部开颅。术中见肿物位于左中颅凹底,前方到达蝶骨嵴,后方至乙状窦。肿物质硬并侵犯颞枕颅骨
Intracranial lymphosarcoma is relatively rare, now a case of treatment of our report as follows. Patient history Female, 13 years old. Left mastoid tumor progressive increase of 1 year and 4 months, nearly 4 months with headache, vomiting and admission. Physical examination: T37 ℃, P82 beats / min, R20 beats / min, BP110 / 60 mmHg. Systemic superficial lymph nodes without swelling. Cardiopulmonary (-). No enlargement of liver and spleen. Local see the left mastoid tumor was hemispherical, smooth surface, the base connected to the skull, a diameter of about 5 cm, no swelling of the skin. Neurological examination: a high degree of bilateral eyelid papilledema, right facial paralysis, stretch the tongue to the right, the other (-). Laboratory tests: WBC10300 / mm ~ 3, leaf 74%, lymph 22%, Eosin 2%, large mononuclear 2%. Left mastoid labrum X-ray film prompted the development of the left mastoid dysplasia. Left carotid artery angiography prompted the left midcave space occupying lesions. Under general anesthesia left craniotomy craniotomy. Surgery, see the tumor located in the left midcourse concave end, sphenoid ridge reached the front, the sigmoid sinus to the rear. Swollen material and violations of the temporal pillow skull