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本文报告了加拿大多伦多儿童医院(1951～1983)60例丘脑肿瘤的长期随访结果和治疗方针。本组男30例,女30例,左侧丘脑肿瘤32例,右侧肿瘤28例。年龄范围5个月～18岁(平均7.7岁).诊断前症状持续时间为1天～3年,其中1个月内33例(38%),1～4个月22例(37%),5个月～1年11例(18%),1～3年4例(7%)。最常见的症状和体征是颅内压增高或局限性神经系统障碍。用颅骨X 线平片、气脑或脑室造影、动脉造影及放射性脑扫描确诊33例,用CT 扫描确诊27例。非手术16例(27%),穿刺活检3例(5%),术中活检20例
This article reports the results of long-term follow-up and treatment guidelines for 60 patients with thalamic brain tumors at Children’s Hospital Toronto, Canada (1951-1983). The group of 30 males and 30 females, left thalamus tumor in 32 cases, right tumor in 28 cases. The age range was from 5 months to 18 years (average 7.7 years). The duration of symptoms before diagnosis ranged from 1 day to 3 years, including 33 cases (38%) in 1 month, 22 cases (37%) in 1 to 4 months, 5 months to 1 year in 11 cases (18%), 1 to 3 years in 4 cases (7%). The most common symptoms and signs are increased intracranial pressure or localized neurological disorders. 33 cases were diagnosed by skull radiography, pneumoperitoneum or ventriculography, arteriography and radioactive brain scan, and 27 cases were diagnosed by CT scan. Sixteen non-surgical patients (27%), biopsy in 3 cases (5%), intraoperative biopsy in 20 cases