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髓母细胞瘤

最后审阅: 11 Oct 2024
最后更新: 23 Jun 2023

小结

定义

病史和体格检查

关键诊断因素

  • 头痛
  • 恶心和呕吐
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其他诊断因素

  • 行为变化
  • 复视
  • 眼肌麻痹
  • 前囟凸起
  • 视神经乳头水肿
  • 眼球震颤
  • 头部倾斜
  • 共济失调
  • 辨距不良
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危险因素

  • 年龄 3-8 岁
  • 男性
  • 与遗传性家族性综合征相关
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诊断性检查

首要检查

  • 脑部 MRI
  • 头颅 CT
  • 组织学
  • 颈椎、胸腔和腰椎 MRI
  • 腰椎穿刺:
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需考虑的检查

  • 术后 MRI
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治疗流程

急症处理

年龄<3 岁

年龄≥3 岁

撰稿人

作者

Gail Horan, MB, BcH, BAO, BMed Sci, MRCPI, FRCR

Consultant Clinical Oncologist

Department of Oncology

Addenbrooke's Hospital

Cambridge

UK

利益声明

GH carries out lectures and paid consultancy work for Janssen, and holds shares in GenesisCare. GH is the author of a reference cited in this topic.

Fiona Harris, MBChB, MRCP, FRCR

Consultant Clinical Oncologist

Addenbrookes Hospital

Cambridge

UK

利益声明

FH declares that she has no competing interests.

Thankamma V. Ajithkumar, MBBS, DMRT, MD, FRCR, FRCPEdin, MBA

Consultant Clinical Oncologist

Cambridge University Hospitals NHS Foundation Trust

Cambridge

UK

利益声明

TVA is the author of a reference cited in this topic.

鸣谢

Dr Gail Horan, Dr Fiona Harris, and Dr Thankamma V. Ajithkumar would like to gratefully acknowledge Dr Sindu Vivekanandan, Dr Barry Pizer, Dr Michael J. Fisher, Dr Phillip B. Storm, and Dr Gregory G. Heuer, the previous contributors to this topic.

利益声明

SV, BP, MJF, PBS, and GGH declare that they have no competing interests.

同行评议者

David Rowed, MD

Division of Neurosurgery

University of Toronto

Toronto

Ontario

Canada

利益声明

DR declares that he has no competing interests.

Michael Vloeberghs, MD, PhD

Professor of Paediatric Neurosurgery

Nottingham University Hospital

Nottingham

UK

利益声明

MV declares that he has no competing interests.

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