JOURNAL OF CLINICAL SURGERY ›› 2019, Vol. 27 ›› Issue (7): 585-588.doi: 10.3969/j.issn.1005-6483.2019.07.014

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Diagnosis and treatment of cerebellar cystic solid tumors

  

  • Online:2019-07-20 Published:2019-07-20

Abstract: Objective:To analyze the clinical features,the extent of tumor removal and the prognosis of patients of cerebellum solidcystic tumors in different age groups.Methods:The clinical datas of 68 cases of cerebellum solidcystic tumors with MRI was retrospectively analyzed.Patients younger than 18yearold or 18yearold were grouped into the adolescent group and patients older than 18yearold were grouped into the adult group.Results:The predominant pathological type of tumors was pilocytic astrocytoma(PA)(n=20,55.5%)in adolescent group,and hemangioblastoma(HB)(n=13,40.6%)in adult group(χ2=28.69,P<0.01).Additionally,tumor resection rate and curative rate of medulloblastoma(22.2% and 33.3%)in adult group was lower than those in adolescent group(50.5% and 44.4%).The 100% of total tumor resection rate of PA and HB was demonstrated in adolescent group and adult group,however,tumor curative rate of PA in adolescent group was 94.7% and of HB in adult group was 81.8%.No statistical difference of occurrence rate of postoperational complications was detected in these two groups.Conclusion:The predominant pathological type of tumors was PA in adolescent group and HB in adult group.Patients with PA and HB have a high resection rate and a good prognosis.However,the total medulloblastoma resection rate of adult and adolescent patients was low and the prognosis was even worse.

Key words: cerebellum tumor, solid cystic tumor, medulloblastoma, surgery

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