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首页> 外文期刊>Neurosurgery >Management of the Great Mimicker: Meckel Cave Tumors
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Management of the Great Mimicker: Meckel Cave Tumors

机译：大米米克犬的管理：麦克尔洞穴肿瘤

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摘要

Meckel cave tumors are often asymptomatic and have a sufficiently characteristic magnetic resonance imaging/computed tomography signature that allows treatment/surveillance decisions to be made without biopsy confirmation. Radiographic diagnosis requires the surgeon to be fully aware of the plethora of unusual Meckel cave lesions that mimic benign tumors when they are malignant, inflammatory, or infectious and in need of a completely different and often timely intervention. When such a diagnosis is considered, it behooves the surgeon and benefits the patient to have a percutaneous biopsy technique available.OBJECTIVE: To use our recent experience with a patient with idiopathic inflammatory sensory neuropathy and another with Meckel cave lymphoma to review the management of tumors of the Meckel cave.METHODS: The technique of percutaneous biopsy of Meckel cave tumors through the foramen ovale with biopsy needles is detailed.CONCLUSION: Obtaining tissue biopsy percutaneously prevents patients with Meckel cave tumors best treated with nonsurgical management from undergoing open surgical resection with its concomitant morbidity.
机译：Meckel洞穴肿瘤通常无症状，并具有足够的磁共振成像/计算机断层扫描特征，可以在无需活检确认的情况下做出治疗/监护决策。影像学诊断要求外科医生充分意识到过多的异常Meckel洞穴病变，这些病变在良性肿瘤为恶性，炎症性或感染性疾病时需要模仿，并且需要完全不同且经常及时的干预。当考虑这样的诊断时，外科医生应该从中受益，并且可以使用经皮穿刺活检技术。目的：利用我们最近对特发性炎性感觉神经病患者和另一名梅克尔山洞淋巴瘤患者的经验来回顾肿瘤的治疗方法：详细介绍通过活检针通过卵圆孔对梅克尔洞穴肿瘤进行经皮活检的技术。结论：经皮取得组织活检可防止未经手术治疗最好的梅克尔洞穴肿瘤患者接受其开放手术切除伴随发病。

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