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目的探讨松果体区非典型中枢神经细胞瘤的临床特征、诊断及治疗方法。方法回顾性分析1例松果体区非典型中枢神经细胞瘤患者的临床资料,结合文献复习,总结其临床表现、诊断、显微外科手术效果,并探讨术后进一步治疗的必要性。结果手术近全切除,术后结合放疗,随访18个月,肿瘤无复发。结论松果体区非典型中枢神经细胞瘤,手术全切除是最佳治疗治疗手段,未全切除和/或术后病理显示肿瘤恶性级别较高患者,术后放疗或化疗可减少肿瘤复发率。
Objective To investigate the clinical characteristics, diagnosis and treatment of atypical central neurocytoma in pineal region. Methods The clinical data of one patient with atypical central neurocytoma in pineal region were retrospectively analyzed. The clinical manifestations, diagnosis and microsurgery results were summarized and reviewed. The necessity of further treatment after operation was discussed. The results of surgery near total resection, combined with radiotherapy, follow-up 18 months, no recurrence of the tumor. Conclusions The total removal of atypical central neurocytoma in the pineal region is the best treatment and treatment. The patients who have undergone incomplete resection and / or postoperative pathology showed that patients with malignant tumors of higher grade and postoperative radiotherapy or chemotherapy could reduce the recurrence rate.