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Clin Neurol Neurosurg ; 113(9): 703-10, 2011 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-21872387

RESUMEN

OBJECTIVE: Central nervous system (CNS) solitary fibrous tumor (SFT) is a rare lesion first identified as a unique entity in 1996. We describe two cases treated at the University of Florida followed by a review of all reported cases of CNS SFT between 1996 and 2010. METHODS: A review of the literature was performed to identify all reported cases of CNS SFT. RESULTS: 189 cases (including the two presented herein) were discovered, of which 46 were spinal and 143 were intracranial. Demographic, imaging, and pathologic findings are presented. Roughly 6% of reported lesions are malignant. Subtotal resection (STR) was associated with a 16-fold increased odds of recurrence (OR 15.9, 95% CI 5.5-46.1), although mean follow-up was shorter in those cases of GTR without recurrence. CONCLUSION: CNS SFT is a rare lesion. Six percent of lesions are malignant. GTR is superior to STR although the degree of superiority is not clear.


Asunto(s)
Neoplasias del Sistema Nervioso Central/patología , Tumores Fibrosos Solitarios/patología , Adulto , Factores de Edad , Neoplasias Encefálicas/epidemiología , Neoplasias Encefálicas/patología , Neoplasias Encefálicas/cirugía , Neoplasias del Sistema Nervioso Central/epidemiología , Neoplasias del Sistema Nervioso Central/cirugía , Angiografía Cerebral , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Recurrencia Local de Neoplasia , Procedimientos Neuroquirúrgicos , Cuadriplejía/etiología , Tumores Fibrosos Solitarios/epidemiología , Tumores Fibrosos Solitarios/cirugía , Neoplasias de la Médula Espinal/epidemiología , Neoplasias de la Médula Espinal/patología , Neoplasias de la Médula Espinal/cirugía , Resultado del Tratamiento
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