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Unusual Problems in Brain Surgery - Intracranial Extension of Mesenchymal Tumors of the Scalp

机译:脑外脑部外科的异常问题 - 头皮间充质肿瘤的颅内延伸

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Dermatofibrosarcoma protuberans and malignant fibrous histiocy-toma are rare mesenchymal, soft tissue tumors, usually occurs in the trunk and extremities. The scalp and skull are rare but important anatomic sites for these tumors because of the possibility of direct invasion into the brain. We report two cases: a 41-year-old man who developed dermatofibrosarcoma protuberans of the scalp with invasion into the skull, dura, superior saggital sinus and brain and with one pulmonary metastasis and a 40-year-old woman who developed probably radiation-induced malignant fibrous histiocytoma of the skull and scalp with intracranial extension. They both had undergone numerous surgical procedures because of multiples tumors recurrences. Neurosurgeons don't have much experience with such patients; so there is a question how to manage these patients and when we have to stop.
机译:Dermatofibrosarcoma胰蛋白酶和恶性纤维组织粒细胞染色粒子是罕见的间充质,软组织肿瘤,通常发生在躯干和四肢中。头皮和颅骨是罕见的,但是这些肿瘤的重要解剖位点,因为这些肿瘤的可能性是直接侵入大脑的可能性。我们报告了两种情况:一名41岁的男子,一名41岁的男子,侵入头骨,死胡子,高级壮大窦和大脑以及一个肺部转移和一个40岁的女性,开发了一个41岁的男子,并且开发了可能辐射的40岁女性用颅内延伸诱导颅骨和头皮的恶性纤维组织细胞瘤。由于肿瘤复发,它们都经历了许多手术手术。 Neurosurgeons没有这种患者的经验;所以有一个问题如何管理这些患者,当我们必须停止时。

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