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儿童脊髓星形细胞瘤的治疗依然为挑战性难题。有明确边界的髓内星形细胞瘤可以获得手术近全切除或大部分切除,预后良好;低级别弥散型的脊髓星形细胞瘤手术以活检明确诊断并为放化疗提供基础为主要目的;间变型或恶性星形细胞瘤星形细胞瘤患者,手术辅以放化疗为治疗选择,预后不佳。本文通过分析作者近年来治疗的儿童脊髓星形细胞瘤患者,再结合文献,谈一些目前国内外儿童脊髓星形细胞瘤的治疗现状以及体会。
The treatment of children with spinal astrocytoma remains a challenging problem. The intramedullary astrocytoma with definite boundary can obtain the near total resection or the majority of resection and the prognosis is good. The low grade diffuse astrocytoma of the spinal cord is diagnosed by biopsy and provides the basis for radiotherapy and chemotherapy. Patients with astrocytoma of variant or malignant astrocytoma, surgery plus radiotherapy and chemotherapy for the treatment of choice, the prognosis is poor. This article analyzes the author in recent years in children with treatment of children with spinal astrocytoma, combined with the literature, talk about some of the current domestic and international children with spinal astrocytoma treatment status and experience.