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首页> 外文期刊>Indian Journal of Medical and Paediatric Oncology >Intracranial metastases of intramedullary spinal cord low-grade astrocytoma
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Intracranial metastases of intramedullary spinal cord low-grade astrocytoma

机译：髓内脊髓低级星形细胞瘤的颅内转移

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This paper reports a case of intramedullary spinal cord low-grade (LG) astrocytoma that developed brain metastases after 21 months. A 6-year-old child presented with lower spine pain and falls during daily activity. A spinal cord mass was detected using spinal magnetic resonance imaging (MRI), and brain MRI was normal. The spinal lesion was partially resected, and pathological findings revealed LG astrocytoma (WHO Grade II). The patient underwent thoracolumbar radiotherapy. He returned 21 months following initial admission with symptoms of nausea, vomiting, headaches, and seizure. Brain MRI revealed multiple intracranial masses at the posterior fossa, left lateral ventricle, cerebellopontine angles, and left Meckel cave. A recurrent lesion was detected in the thoracic and lumbar regions of the spinal cord and in the cauda equina. The patient underwent chemotherapy. This rare case warns practitioners to monitor closely the cases of spinal cord astrocytoma that are diagnosed as LG tumors based on histology.
机译：本文报告了髓内脊髓低级（LG）星形细胞瘤的情况，其在21个月后开发了脑转移。一名6岁的孩子患有较低的脊柱疼痛，每日活动都落下。使用脊柱磁共振成像（MRI）检测脊髓质量，脑MRI正常。部分切除脊髓病变，病理发现显示出LG星形细胞瘤（II级）。患者接受了胸瘤的放射治疗。他在初次入场后21个月内返回了恶心，呕吐，头痛和癫痫发作的症状。脑MRI在后窝，左侧脑室，小脑角度和左侧覆盖物的颅内肿块中揭示了多个颅内肿块。在脊髓的胸腔和腰部区域和山脉患者中检测到复发性病变。患者接受化疗。这种罕见的案例警告从业者在基于组织学中诊断为LG肿瘤的脊髓星形细胞瘤的情况密切监测。

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