[1]钟儒婷,梁奕,王焕明.中分化松果体实质瘤1例[J].中国临床神经外科杂志,2024,29(11):698-699.[doi:10.13798/j.issn.1009-153X.2024.11.014]
　ZHONG Ru-ting,LIANG Yi,WANG Huan-ming.One case of pineal parenchymal tumor of intermediate differentiation[J].,2024,29(11):698-699.[doi:10.13798/j.issn.1009-153X.2024.11.014]
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中分化松果体实质瘤1例()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年11期
页码:
698-699
栏目:
个案报道
出版日期:
2024-11-30

文章信息/Info

Title:
One case of pineal parenchymal tumor of intermediate differentiation
文章编号:
1009-153X（2024）11-0698-02
作者:
钟儒婷; 梁奕; 王焕明
430010武汉，长江航运总医院医学影像科（钟儒婷、梁奕），神经外科（王焕明）
Author(s):
ZHONG Ru-ting1;  LIANG Yi1;  WANG Huan-ming2
1. Department of Medical Imaging, General Hospital of The Yangtze River Shipping, Wuhan 430010, China; 2. Department of Neurosurgery, General Hospital of The Yangtze River Shipping, Wuhan 430010, China
关键词:
松果体肿瘤; 中分化松果体实质瘤; 影像学表现; 显微手术
Keywords:
Pineal tumor;  Pineal parenchymal tumors of intermediate differentiation;  Imaging manifestations;  Microsurgery
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2024.11.014
文献标志码:
B
摘要:
中分化松果体实质瘤是一种罕见的中度恶性肿瘤，影像学表现有时难以鉴别。本文报道1例中年男性发现松果体区占位，影像学检查示胚胎性肿瘤，最终行松果体区占位性病变部分切除加取活检术，术后病理诊断为中分化松果体实质瘤。术后进行放疗，随访12个月，无复发。中分化松果体实质瘤影像学表现有一定的特征，但最终确诊需要结合病理学检查；手术切除是首选治疗方法，术后辅以放、化疗，可改善病人预后。
Abstract:
Pineal parenchymal tumors of intermediate differentiation (PPTID) are a kind of rare moderately malignant tumors, and their imaging manifestations are sometimes difficult to differentiate. This paper reports a case of a middle-aged male with a space-occupying lesion in the pineal region. The imaging examination indicated an embryonic tumor. Eventually, a partial resection of the space-occupying lesion in the pineal region combined with biopsy was carried out, and the postoperative pathological diagnosis was PPTID. Postoperative radiotherapy was administered, and the patient was followed up for 12 months without recurrence. The imaging manifestations of PPTID have certain characteristics, but the final diagnosis requires a combination of pathological examination. Surgical resection is the preferred treatment method, and postoperative radiotherapy and chemotherapy can improve the prognosis of patients with PPTID.

参考文献/References:

[1] TAKASE H, TANOSHIMA R, SINGLA N, et al. Pineal parenchymal tumor of intermediate differentiation: a systematic review and contemporary management of 389 cases reported during the last two decades [J]. Neurosurg Rev, 2022, 45(2): 1135-55.
[2] NAM JY, GILBERT A, CACHIA D, et al. Pineal parenchymal tumor of intermediate differentiation: a single-institution experience [J]. Neurooncol Pract, 2020, 7(6): 613-619.
[3] QI CY, ZOU LL, RU XJ, et al. Imaging features of pineal parenchymal tumor of intermediate differentiation: a report of 31 cases [J]. Chin J Med Imaging Technol, 2015, 31(7): 985-988. 齐草源，邹丽丽，茹小娟，等. 中分化松果体实质瘤影像学表现（附31例报告）[J]. 中国医学影像技术，2015，31（7）：985-988.
[4] YUAN J, GAO PY. CT and MRI diagnosis of pineal parenchymal tumors [J]. J Chin Clin Med Imaging, 2009, 20(9): 657-660. 袁　菁，高培毅. 松果体实质细胞肿瘤的CT和MRI诊断[J]. 中国临床医学影像杂志，2009，20（9）：657-660.
[5] HAN SJ, CLARK AJ, IVAN ME, et al. Pathology of pineal parenchymal tumors [J]. Neurosurg Clin N Am, 2011, 22(3): 335-340, vii.

相似文献/References:

[1]王晓江　肖顺武　谢明祥　续　岭　刘胜远　苟小霞　张　钰.神经内镜下经幕下小脑上入路切除松果体混合性生殖细胞瘤1例并文献复习[J].中国临床神经外科杂志,2019,(11):694.[doi:10.13798/j.issn.1009-153X.2019.11.019]

备注/Memo

备注/Memo:
（2023-01-16收稿，2024-01-05修回）
更新日期/Last Update: 2024-11-30