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目的颅内血管外膜细胞瘤(HPC)发病率低,临床诊治困难,本研究是为了提高对颅内HPC的认识。方法回顾总结6例颅内HPC患者的临床表现、影像、病理特点以及手术切除和预后情况,并且复习相关文献。结果 6例患者均行开颅手术治疗,其中全切除4例,近全切除2例;术后2例行放射治疗。术后随访1～10个月,尚未发现肿瘤复发及转移。结论颅内HPC生长活跃,血供丰富,尤其是位于大脑镰及矢状窦旁时,因此要明确诊断,做好充分的术前准备;手术切除是最佳的治疗手段,应尽量全切,切除范围要广泛,放射治疗是主要的辅助治疗手段。
Objective The incidence of intracranial adventitial oncocytoma (HPC) is low, clinical diagnosis and treatment is difficult. This study aims to improve the understanding of intracranial HPC. Methods The clinical manifestations, imaging, pathological features, surgical resection and prognosis of 6 patients with intracranial HPC were reviewed and reviewed. Results Six patients underwent craniotomy, including 4 cases underwent total resection and 2 cases underwent total resection. Radiotherapy was performed in 2 cases after operation. Follow-up 1 to 10 months after surgery, no tumor recurrence and metastasis have been found. Conclusion Intracranial HPC is active and rich in blood supply, especially when located in the falx and sagittal sinus, so it is necessary to make a definite diagnosis and make adequate preoperative preparation. Surgical resection is the best treatment and should be cut as much as possible, Excision of a wide range of radiation therapy is the main adjuvant therapy.