【正文】
擴(kuò)張性:界限清,壓迫為主 . ( 2)浸潤性生長:界限不清,壓迫 . ( 3)多灶性生長:多灶性癥狀 . 腫瘤病因 不清 The pathogeny of tumor ( 1)遺傳學(xué)因素 ( 2)物理因素 機(jī)械損傷和射 線 ( 3)化學(xué)因素 ( 4)生物因素 ( 5)先天因素 腫瘤組織學(xué)分類 ( 1)神經(jīng)上皮: 膠質(zhì)瘤、星型細(xì)胞瘤、少突膠質(zhì)瘤、 室管膜瘤、膠質(zhì)母細(xì)胞瘤、髓母細(xì)胞瘤 ( 2)腦 膜:腦膜瘤、腦膜肉瘤 ( 3)神 經(jīng) 鞘:聽神經(jīng)瘤、三叉神經(jīng)鞘瘤、惡性神經(jīng) 鞘瘤 ( 4)垂體前葉:垂體腺瘤 ( 5)先 天 性:顱咽管瘤、脊索瘤、上皮樣腫瘤 ( 6)血管組織:血管母細(xì)胞瘤(血管網(wǎng)織細(xì)胞瘤) ( 7)轉(zhuǎn)移性腫瘤: ( 8)臨近組織侵入到顱內(nèi)腫瘤:頸靜脈球瘤、軟骨肉瘤 ( 9)未分類腫瘤; 發(fā)病部位 半球:膠質(zhì)瘤、轉(zhuǎn)移瘤 蝶鞍(區(qū)):垂體瘤、顱咽管瘤、腦膜瘤 橋小腦角:神經(jīng)鞘瘤、腦膜瘤 小腦:星形細(xì)胞瘤、血管網(wǎng)織細(xì)胞瘤、蚓 部髓母細(xì)胞瘤 腦室:室管膜瘤 鐮旁、矢旁、嗅溝、斜坡等:腦膜瘤 ?顱內(nèi)腫瘤的臨床表現(xiàn) ?The clinic presentation of intracranial tumors (一)腫瘤起病方式 ( 1)神經(jīng)功能障礙:緩慢起病 ( 2)癲癇:反復(fù)癲癇 ( 3)急性起病:卒中 (1)頭痛 頭痛為顱內(nèi)腫瘤最多見的癥狀 。 在 12歲以內(nèi)兒童是第一位死因。 幕上下之比 2: 1 膠質(zhì)瘤、腦膜瘤、垂體瘤、聽神經(jīng)瘤。 年死亡率為 。 成人發(fā)病情況 原發(fā)性腫瘤占全身腫瘤的 2%,在各系 統(tǒng)腫瘤中居第 11位。第二十一章 顱內(nèi)和椎管內(nèi)腫瘤 Intracranial and intraspinal tumors 制作:哈醫(yī)大一院神經(jīng)外科 Abstract Craniocerebral tumors include primary craniocerebral tumors and secondary craniocerebral tumors. With the popularization of the CT scan and MRI imaging , the early diagnosis of the craniocerebral tumors increase year after year. The incidence of the craniocerebral tumors are different in every country, ranging from 9/lakh to 40/lakh. Generically , the secondary craniocrebral tumor are not operative indication. So the primary craniocrebral tumors,such as skull tumor 、 glioma 、 meningioma et al, are introductive emphases in this chapter. Abstract ? The CT scan and MRI imaging are very important examination for the diagnosis of craniocerebral tumor . if necessarily, we can undergo enhancing examination, With the clinic presentation , we can give the diagnosis. ? the therapy is difficult for the malignant tumor, such as glioma. The operation is the most important , but not the therapy that is uniquely effective. The radiation therapy、 chemistry therapy、 gene therapy、 and ultrasonic therapy et al, are all effective for craniocerebral tumor. You can choose one or more therapy from above. Choosing which therapy is mai