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目的总结分析颅内外沟通型孤立性纤维瘤的临床、影像学特点,生物学行为及手术治疗。方法 2008年11月对1例患者进行CT、MRI查示病变部位,采用全麻下枕下远外侧联合乙状窦前入路,将肿瘤边界充分游离后予以全部切除。结果临床症状与肿瘤位置、大小密切相关,手术切除病变后疗效满意。结论颅内外沟通型孤立性纤维瘤颅内部分更好发于前中颅窝,中年女性较为常见,完全切除病变是治疗的最佳方案,应做长期密切随访。
Objective To summarize the clinical and imaging features, biological behavior and surgical treatment of intracranial and extracranial communicating solitary fibroma. Methods In November 2008, CT and MRI were performed on one patient to identify the lesion site. All the patients underwent suboccipital anterolateral approach and sigmoid sinus approach under general anesthesia to fully excise the tumor. Results The clinical symptoms were closely related to tumor location and size, and satisfactory results were obtained after surgical removal of the lesion. Conclusions The intracranial part of intracranial and extracranial communicating solitary fibroma is more likely to occur in the anterior middle cranial fossa. Middle-aged women are more common. Complete resection of the lesion is the best treatment option and should be followed up for a long time.