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目的:分析颅内血管母细胞瘤的临床特点。方法:回顾性分析我院1975～1998年收治并经病理证实的42例颅内血管母细胞瘤。结果:发病年龄多在20～50岁,男性多于女性,绝大多数发生于小脑。29例行 CT 检查,囊性肿瘤25例;6例作 MRI 检查,囊性肿瘤4例。瘤结节及实质性肿瘤全切除38例,部分切除4例,其中加放射治疗2例。结论:MRI 检查对囊性血管母细胞瘤的诊断具有特异性;手术切除程度和病变呈多灶性与肿瘤复发有关;肿瘤具有明显的遗传倾向。
Objective: To analyze the clinical features of intracranial hemangioblastoma. Methods: A retrospective analysis of our hospital from 1975 to 1998 admitted and pathologically confirmed 42 cases of intracranial hemangioblastoma. Results: The age of onset was more than 20 to 50 years old, more men than women, the vast majority occurred in the cerebellum. 29 routine CT examination, cystic tumor in 25 cases; 6 cases for MRI examination, cystic tumor in 4 cases. Total nodules and tumor resection in 38 cases, partial resection in 4 cases, including radiotherapy in 2 cases. Conclusion: The MRI examination is specific to the diagnosis of cystic hemangioblastoma. The degree of resection and the multifocal lesion are related to tumor recurrence. The tumor has obvious genetic predisposition.