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Distant extraventricular recurrence in central neurocytoma.

机译:中枢神经细胞瘤远处的室外复发。

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Sir, Central neurocytomas are rare tumors of the central nervous system described first by Hassoun in 1982. We present a rare distant extraventricular recurrence in a patient with an intraventricular neurocytoma.A 50-year-old male presented with features of raised intracranial pressure and cognitive decline of four months' duration. Examination revealed impaired attention span and papilledema. Contrast computed tomography (CECT) scan of brain [Figure 1]a and b revealed a large intraventricular uniformly enhancing mass predominantly in the right lateral ventricle with a septal attachment. There was significant dilatation of both lateral ventricles. The patient underwent ventriculoperitoneal shunt followed by a right frontoparietal parasagittal craniotomy, interhemispheric transcallosal approach and total excision of the tumor. Histopathological examination of the tumor revealed typical pattern of a central neurocytoma, with a bland histology with sheets of neurocytoma cells and no evidence of hypercellularity or mitosis.
机译:主席先生,中枢神经细胞瘤是哈森(Hassoun)于1982年首次描述的中枢神经系统罕见肿瘤。我们在患有脑室内神经细胞瘤的患者中出现了罕见的远处室外复发。50岁的男性表现出颅内压升高和认知功能增高持续四个月的时间下降。体检发现注意力跨度和乳头水肿受损。大脑的对比计算机断层扫描(CECT)扫描[图1] a和b显示,大的脑室内均匀弥散性增大,主要是在右心室并有隔隔。两侧脑室均明显扩张。患者进行了脑室-腹膜分流,随后进行了右前额叶旁矢状开颅手术,半球间穿刺入路和肿瘤的完全切除。肿瘤的组织病理学检查显示中央神经细胞瘤的典型模式,组织学平淡,有神经细胞瘤细胞片,没有证据表明细胞过多或有丝分裂。

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