The role of surgical biopsy in the diagnosis of glioma in individuals with neurofibromatosis-1

被引:43
|
作者
Leonard, J. R.
Perry, A.
Rubin, J. B.
King, A. A.
Chicoine, M. R.
Gutmann, D. H.
机构
[1] Washington Univ, Sch Med, Dept Neurol, St Louis, MO 63110 USA
[2] St Louis Childrens Hosp, Dept Neurosurg, St Louis, MO 63178 USA
[3] St Louis Childrens Hosp, Dept Pathol & Immunol, St Louis, MO 63178 USA
[4] St Louis Childrens Hosp, Dept Pediat, St Louis, MO 63110 USA
[5] St Louis Childrens Hosp, Div Hematol Oncol & Neurol, St Louis, MO 63110 USA
关键词
D O I
10.1212/01.wnl.0000240076.31298.47
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Most gliomas in neurofibromatosis type 1 (NF1) are pilocytic astrocytomas (PAs) of the optic pathway occurring in young children. However, some individuals develop gliomas that lack the typical NF1-associated clinical features or radiographic appearance. We identified 17 atypical presentations from a review of 100 patients with NF1-associated gliomas. Biopsy showed that 9 were not classic PAs. These data highlight the value of biopsy in NF1-associated gliomas with unusual clinical or radiographic presentations.
引用
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页码:1509 / 1512
页数:4
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