側脳室・第三脳室内腫瘍の手術適応と治療戦略
側脳室に発生する腫瘍としては, 中枢性神経細胞腫, 上衣腫, 上衣下腫, 脈絡叢乳頭腫, 上衣下巨細胞性星細胞腫, 髄膜腫, コロイド囊胞などの囊胞性疾患などがある. 第三脳室腫瘍としては, 胚細胞腫, 毛様性星細胞腫, 頭蓋咽頭腫, 脊索腫様膠腫, 松果体腫瘍などが代表的疾患である. これらの腫瘍に対する治療は, 腫瘍の組織型に応じた治療戦略が必要であり, 代表的な疾患に対して, 手術適応, 治療戦略, 問題点について, 最近の文献を踏まえて解説した....
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| Published in | 脳神経外科ジャーナル Vol. 28; no. 8; pp. 491 - 498 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本脳神経外科コングレス
2019
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0917-950X 2187-3100 |
| DOI | 10.7887/jcns.28.491 |
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| Abstract | 側脳室に発生する腫瘍としては, 中枢性神経細胞腫, 上衣腫, 上衣下腫, 脈絡叢乳頭腫, 上衣下巨細胞性星細胞腫, 髄膜腫, コロイド囊胞などの囊胞性疾患などがある. 第三脳室腫瘍としては, 胚細胞腫, 毛様性星細胞腫, 頭蓋咽頭腫, 脊索腫様膠腫, 松果体腫瘍などが代表的疾患である. これらの腫瘍に対する治療は, 腫瘍の組織型に応じた治療戦略が必要であり, 代表的な疾患に対して, 手術適応, 治療戦略, 問題点について, 最近の文献を踏まえて解説した. |
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| AbstractList | 側脳室に発生する腫瘍としては, 中枢性神経細胞腫, 上衣腫, 上衣下腫, 脈絡叢乳頭腫, 上衣下巨細胞性星細胞腫, 髄膜腫, コロイド囊胞などの囊胞性疾患などがある. 第三脳室腫瘍としては, 胚細胞腫, 毛様性星細胞腫, 頭蓋咽頭腫, 脊索腫様膠腫, 松果体腫瘍などが代表的疾患である. これらの腫瘍に対する治療は, 腫瘍の組織型に応じた治療戦略が必要であり, 代表的な疾患に対して, 手術適応, 治療戦略, 問題点について, 最近の文献を踏まえて解説した. |
| Author | 吉本, 幸司 |
| Author_xml | – sequence: 1 fullname: 吉本, 幸司 organization: 鹿児島大学大学院医歯学総合研究科脳神経外科 |
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| Copyright | 2019 日本脳神経外科コングレス |
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| DOI | 10.7887/jcns.28.491 |
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| References_xml | – reference: 39) Sawamura Y, Kamada K, Kamoshima Y, Yamaguchi S, Tajima T, Tsubaki J, Fujimaki T : Role of surgery for optic pathway/hypothalamic astrocytomas in children. Neuro Oncol 10 : 725-733, 2008. – reference: 37) Raleigh DR, Solomon DA, Lloyd SA, Lazar A, Garcia MA, Sneed PK, Clarke JL, McDermott MW, Berger MS, Tihan T, Haas-Kogan DA : Histopathologic review of pineal parenchymal tumors identifies novel morphologic subtypes and prognostic factors for outcome. Neuro Oncol 19 : 78-88, 2017. – reference: 11) Garcia RM, Ivan ME, Oh T, Barani I, Parsa AT : Intraventricular neurocytomas : a systematic review of stereotactic radiosurgery and fractionated conventional radiotherapy for residual or recurrent tumors. 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Acta Neuropathol 129 : 775-788, 2015. – reference: 30) Mallick S, Benson R, Rath GK : Patterns of care and survival outcomes in patients with pineal parenchymal tumor of intermediate differentiation : An individual patient data analysis. Radiother Oncol 121 : 204-208, 2016. – reference: 35) Rades D, Fehlauer F, Lamszus K, Schild SE, Hagel C, Westphal M, Alberti W : Well-differentiated neurocytoma : what is the best available treatment? Neuro Oncol 7 : 77-83, 2005. – reference: 8) Dutta SW, Kaleem TA, Muller DA, Peterson J, Harrell AC, Quinones-Hinojosa A, Trifiletti DM : Central neurocytoma : Clinical characteristics, patterns of care, and survival. 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Pediatr Blood Cancer 62 : 784-789, 2015. – reference: 20) Kaley T, Touat M, Subbiah V, Hollebecque A, Rodon J, Lockhart AC, Keedy V, Bielle F, Hofheinz RD, Joly F, Blay JY, Chau I, Puzanov I, Raje NS, Wolf J, DeAngelis LM, Makrutzki M, Riehl T, Pitcher B, Baselga J, Hyman DM : BRAF inhibition in BRAF (V600) -mutant gliomas : results from the VE-BASKET study. J Clin Oncol JCO2018789990, 2018. [Epub ahead of print] – reference: 9) Elliott RE, Jane JA Jr, Wisoff JH : Surgical management of craniopharyngiomas in children : meta-analysis and comparison of transcranial and transsphenoidal approaches. Neurosurgery 69 : 630-643 ; discussion 643, 2011. – reference: 3) Bielle F, Villa C, Giry M, Bergemer-Fouquet AM, Polivka M, Vasiljevic A, Aubriot-Lorton MH, Bernier M, Lechapt-Zalcman E, Viennet G, Sazdovitch V, Duyckaerts C, Sanson M, Figarella-Branger D, Mokhtari K ; RENOP : Chordoid gliomas of the third ventricle share TTF-1 expression with organum vasculosum of the lamina terminalis. Am J Surg Pathol 39 : 948-956, 2015. – reference: 44) Thomas C, Sill M, Ruland V, Witten A, Hartung S, Kordes U, Jeibmann A, Beschorner R, Keyvani K, Bergmann M, Mittelbronn M, Pietsch T, Felsberg J, Monoranu CM, Varlet P, Hauser P, Olar A, Grundy RG, Wolff JE, Korshunov A, Jones DT, Bewerunge-Hudler M, Hovestadt V, von Deimling A, Pfister SM, Paulus W, Capper D, Hasselblatt M : Methylation profiling of choroid plexus tumors reveals 3 clinically distinct subgroups. Neuro Oncol 18 : 790-796, 2016. – reference: 17) Ito T, Kanno H, Sato K, Oikawa M, Ozaki Y, Nakamura H, Terasaka S, Kobayashi H, Houkin K, Hatanaka K, Murata J, Tanaka S : Clinicopathologic study of pineal parenchymal tumors of intermediate differentiation. World Neurosurg 81 : 783-789, 2014. – reference: 24) Koh EJ, Wang KC, Phi JH, Lee JY, Choi JW, Park SH, Park KD, Kim IH, Cho BK, Kim SK : Clinical outcome of pediatric choroid plexus tumors : retrospective analysis from a single institute. 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| Snippet | 側脳室に発生する腫瘍としては, 中枢性神経細胞腫, 上衣腫, 上衣下腫, 脈絡叢乳頭腫, 上衣下巨細胞性星細胞腫, 髄膜腫, コロイド囊胞などの囊胞性疾患などがある. 第三脳... |
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| SubjectTerms | central neurocytma chordoid glioma of the third ventricle choroid plexus tumor pineal tumor subependymoma |
| Title | 側脳室・第三脳室内腫瘍の手術適応と治療戦略 |
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