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目的提高颅内黑色素瘤的诊断及治疗水平,降低临床误诊率。方法回顾性分析二例颅内黑色素瘤的临床及影像学资料,结合文献探讨该肿瘤的影像学检查方法及治疗手段。结果二例患者均实现手术全切,病理证实为颅内黑色素瘤,一患者术后11个月死亡,另一患者术后至今(2007年9月)存活。结论神经系统黑色素瘤发病率低,术前误诊率高,治疗以手术切除为主,综合治疗有望提高疗效。
Objective To improve the diagnosis and treatment of intracranial melanoma and reduce the rate of clinical misdiagnosis. Methods Retrospective analysis of two cases of intracranial melanoma clinical and imaging data, combined with the literature to explore the tumor imaging methods and treatment. Results Two patients underwent total surgical resection. The pathology was confirmed as intracranial melanoma. One patient died after 11 months and the other patient survived (September 2007). Conclusion The incidence of neurological melanoma is low, and the rate of misdiagnosis before operation is high. Surgical resection is the main treatment and comprehensive treatment is expected to improve the curative effect.