关键词: Rosai–Dorfman disease brain tumors lymphoproliferative diseases sinus histiocytosis with massive lymphadenopathy stereotactic biopsy targeted radiotherapy

来  源:   DOI:10.1002/ccr3.9053   PDF(Pubmed)

Abstract:
UNASSIGNED: Intracranial RDD is rare medical event mimicking different diagnoses. Although the surgical resection is the best treatment option, but radiation therapy can also achieves long-term suboptimal outcomes.
UNASSIGNED: An 83-year-old male with a history of tension-type headaches was evaluated. He was conscious with no focal neurological deficits. His brain MRI revealed an enhancable bifrontal tumor originating from falx cerebri and superior sagittal sinus dura. Due to the patient\'s preference and decline for gross total resection, she underwent a stereotactic biopsy. The pathology was positive for Rosai-Dorfman diseases. He received definitive targeted radiation with a total dose of 4500 cGy administered in 200 cGy daily fractions. His 4-year follow-up showed regional tumor control with excellent neurological outcome.
摘要:
颅内RDD是模仿不同诊断的罕见医学事件。虽然手术切除是最好的治疗选择,但是放射治疗也可以达到长期的次优结果.
对一名有紧张型头痛病史的83岁男性进行了评估。他意识清醒,没有局灶性神经功能缺损。他的脑部MRI显示,起源于大脑镰状和上矢状窦硬脑膜的增强的双额叶肿瘤。由于患者对总切除的偏好和拒绝,她接受了立体定向活检.病理为Rosai-Dorfman病阳性。他接受了明确的靶向放射,总剂量为4500cGy,每日200cGy。他的4年随访显示区域肿瘤控制,神经系统预后良好。
公众号