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タイトル放射能治療後の松果体部残存腫瘍と再発腫瘍に対する外科治療
タイトルヨミホウシャノウ チリョウゴ ノ ショウカタイブ ザンゾン シュヨウ ト サイハツ シュヨウ ニ タイスル ゲカ チリョウ
タイトル別表記Direct surgery for recurrent tumors and residual tumors in pineal region after radiotherapy
作成者阿美古, 征生
中野, 茂樹
亀田, 秀樹
織田, 哲至
青木, 秀夫
井上, 信一
作成者ヨミアビコ, セイショウ
ナカノ, シゲキ
カメダ, ヒデキ
オリタ, テツジ
アオキ, ヒデオ
イノウエ, シンイチ
作成者別表記Abiko, Seisho
Nakano, Shigeki
Kameda, Hideki
Orita, Tetsuji
Aoki, Hideo
Inoue, Shinichi
作成者所属山口大学医学部
内容記述(抄録等)In trearment of pineal tumors, radiotherapy with a shunting operation has been generally adopted because germinomas were the most common of pineal tumors, and also because radical resection of these tumors has resulted in high mortality and morbidity. However, about 10% of the tumors in the pineal region are mixed germ cell tumors, and a combination of shunting operation and irradiation is limited in its effect on this kind of lesion. The authors have recently operated with good results on these recurrent tumors and the residual tumor by infratentorial supracerebellar approach in the concorde position. So, these cases were presented and the treatment for pineal tumor was discussed. Case 1 : A 15-year-old boy was admitted with increased intracranial pressure (IICP) on May, 1979. Computerized tomography (CT) scans at that time showed pineal and suprasellar tumors with ventricular dissemination. A ventriculoperitoneal shunt followed by radiation therapy was peerformed. The tumors seemed to have almost disappeared after this therapy and the patient continued well until he complained of severe headache and general fatigue in September, 1984. CT scans showed a reccurrent tumor with cystic component. He was operated for the subtotal removal of the tumor on November 26, 1984 and was discharged with slight mental dullness two months postperatively. Histological diagnosis of the specimen was mature teratoma. Case 2 : A 10-year-old boy was admitted with IICP and in a drowsy state on October 1, 1984. CT scans showed a pineal tumor with hydrocephalus. A combination of radiation and a shunting operation was performed. CT scans after this therapy showed a residual tumor but with tumor shrinkage. He was operated for the radical removal of the tumor. The Postoperative course was uneventful and he was discharged with Prinaud's sign on month after operation. Histological diagnosis of the specimen was teratoid. Case 3 : A 13-year-old boy was admitted with IICP and diolopia on March 14, 1986. CT scans showed a pineal tumor with hydrocephalus. A combination of radiation and shunting operation was performed was performed. CT scans after this therapy showed a small residual tumor with calcification. He was operared for the total removal of the tumor by Laser. Histological diagnosis of the tumor was connective tissue.
本文言語jpn
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
37
1
開始ページ89
終了ページ94
発行日1988-02
著者版/出版社版その他
リポジトリIDB030037000111
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030037000111