Check and can determine the nature in tumour pathology of cartilage in the cranium

Check and can determine the nature in tumour pathology of cartilage in the cranium
It is reported (reporter Kuang YuanShen) The intersection of cartilage and the intersection of tumour and clinic under cranium and diagnose comparatively difficult at the image, 50% the above it diagnoses to be wrong before the skill, extremely apt and mucus tumour and notochord tumour,etc. are obscured, it diagnoses finally that still needs pathology to distinguish. A few days ago, big by the subsidiary professional group's tension of cranium bottom of Beijing God Temple Hospital department of neurosurgery of Capital University of Medical Sciences, the analysis and research of clinical characteristic of cartilage tumour shows in a group of craniums which Professor Zhang JunTing,etc. finished, this tumour is insensitive to radiotherapy, it is still the best treatment means to achieve surgery a little, but the difficulty of operation is great, with high risk; If can excise tumour completely, the patient can still be cured.
Cartilage tumour is a kind of rare central nervous system benign tumour in the cranium, there are no epidemiology materials, domestic and foreign rarely seen case report yet at present. The intersection of tension and through carry on research to 30 materials of patient that institute this treat for over ten years big, JunTing Zhang,etc., make every effort to find out the regular characteristic.
It is introduced the intersection of cartilage and tumour have illness coming on peak in the cranium from 30 year old to 40 year old. Because this tumour takes place in the bottom suture of cranium, take the form of and divide foliately more, it should be generally too long to present symptom and physical sign until when being quite great, and the tumour position is close to important structure such as the neural blood vessels of brain stem and cranium bottom, its most typical characteristic is that expansibility, abnormality grow, far different from other position cartilage tumours. Tension big professor say cartilage tumour extremely apt with the intersection of mucus and tumour and the intersection of notochord and tumour, the intersection of neurilemma and tumour, the intersection of meninx and tumour, cranium swallow in charge of tumour and spongy hemangioma,etc. obscure by the saddle in the cranium, especially distinguish with mucus tumour that more difficult. Have 7 people diagnose as into the intersection of neurilemma and tumour in front of the skill in the 30 patient, 4 people diagnose as into notochord tumour, diagnose as into the intersection of meninx and tumour and the intersection of colloid and the intersection of tumour and all 2 people, diagnose as cranium swallow in charge of tumour and spongy the intersection of hemangioma and all 1 people by the saddle, diagnose the correct rate is only 44% before the skill.
Tension big professor think, treat the intersection of cartilage and tumour best means to create surgery a little in the cranium at present. Pathological change dark as to position, take near excise or method that the greater part excise all, can relieve the oppression of important structure such as the brain stem of tumour, make the condition relieved. 30 patient undergo an operation treatment all, among them tumour all excise 11 people, follow up a case by regular visits to 45.8 months average time, there is no tumour to recur, resume normal life. Excise patient, carry on to follow up a case by regular visits to average 36.8 month all to 19 in addition, image reexamine the result reveal, most residual tumours do not have obvious change, 14 people among them resume working, 3 patients recuring have implemented two operations, 2 people die.
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