对颅底偶然出现的良性脊索瘤病变采取观察、等待和重新扫描的方法

IF 3.3 2区 医学 Q2 CLINICAL NEUROLOGY
Inga E. Usher, Evangelos Drosos, Abdalla Morsy, Andrea Wadeson, Roger Laitt, Sarah Abdulla, Aparna Madhavan, Jane Halliday, Scott Rutherford, Andrew T. King, Omar N. Pathmanaban
{"title":"对颅底偶然出现的良性脊索瘤病变采取观察、等待和重新扫描的方法","authors":"Inga E. Usher, Evangelos Drosos, Abdalla Morsy, Andrea Wadeson, Roger Laitt, Sarah Abdulla, Aparna Madhavan, Jane Halliday, Scott Rutherford, Andrew T. King, Omar N. Pathmanaban","doi":"10.3171/2024.2.focus23912","DOIUrl":null,"url":null,"abstract":"OBJECTIVE\n<p>The aim of this study was to describe the natural history of incidental benign-appearing notochordal lesions of the skull base with specific attention to features that can make differentiation from low-grade chordoma more difficult, namely contrast uptake and bone erosion.</p>\nMETHODS\n<p>In this retrospective case series, the authors describe the clinical outcomes of 58 patients with incidental benign-appearing notochordal lesions of the clivus, including those with minor radiological features of bone erosion or contrast uptake.</p>\nRESULTS\n<p>All lesions remained stable during a median follow-up of almost 3 years. Thirty-seven (64%) patients underwent contrast-enhanced MRI; lesions in 14 (38%) of these patients exhibited minimal contrast enhancement. Twenty-seven (47%) patients underwent CT; lesions in 6 (22%) of these patients exhibited minimal bone erosion.</p>\nCONCLUSIONS\n<p>These data make the case for monitoring selected cases of benign-appearing notochordal lesions of the clivus in the first instance even when there is minor contrast uptake or minimal bone erosion.</p>","PeriodicalId":19187,"journal":{"name":"Neurosurgical focus","volume":"17 1","pages":""},"PeriodicalIF":3.3000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A watch, wait, and rescan approach for incidental benign-appearing notochordal lesions of the skull base\",\"authors\":\"Inga E. Usher, Evangelos Drosos, Abdalla Morsy, Andrea Wadeson, Roger Laitt, Sarah Abdulla, Aparna Madhavan, Jane Halliday, Scott Rutherford, Andrew T. King, Omar N. Pathmanaban\",\"doi\":\"10.3171/2024.2.focus23912\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"OBJECTIVE\\n<p>The aim of this study was to describe the natural history of incidental benign-appearing notochordal lesions of the skull base with specific attention to features that can make differentiation from low-grade chordoma more difficult, namely contrast uptake and bone erosion.</p>\\nMETHODS\\n<p>In this retrospective case series, the authors describe the clinical outcomes of 58 patients with incidental benign-appearing notochordal lesions of the clivus, including those with minor radiological features of bone erosion or contrast uptake.</p>\\nRESULTS\\n<p>All lesions remained stable during a median follow-up of almost 3 years. Thirty-seven (64%) patients underwent contrast-enhanced MRI; lesions in 14 (38%) of these patients exhibited minimal contrast enhancement. Twenty-seven (47%) patients underwent CT; lesions in 6 (22%) of these patients exhibited minimal bone erosion.</p>\\nCONCLUSIONS\\n<p>These data make the case for monitoring selected cases of benign-appearing notochordal lesions of the clivus in the first instance even when there is minor contrast uptake or minimal bone erosion.</p>\",\"PeriodicalId\":19187,\"journal\":{\"name\":\"Neurosurgical focus\",\"volume\":\"17 1\",\"pages\":\"\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2024-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Neurosurgical focus\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3171/2024.2.focus23912\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurosurgical focus","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3171/2024.2.focus23912","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0

摘要

目的:本研究旨在描述颅底偶发良性脊索瘤病变的自然病史,特别关注那些可能导致与低级别脊索瘤更难鉴别的特征,即对比剂摄取和骨侵蚀。方法在这一回顾性病例系列中,作者描述了 58 例颅底偶然出现的良性脊索瘤病变患者的临床结果,包括那些具有骨侵蚀或造影剂摄取等轻微放射学特征的患者。结果在近 3 年的中位随访期间,所有病变均保持稳定。37例(64%)患者接受了造影剂增强磁共振成像检查;其中14例(38%)患者的病变显示出最小的造影剂增强。结论:这些数据表明,即使造影剂摄取较少或骨侵蚀程度较轻,也应首先对某些看似良性的梭形细胞病变病例进行监测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A watch, wait, and rescan approach for incidental benign-appearing notochordal lesions of the skull base
OBJECTIVE

The aim of this study was to describe the natural history of incidental benign-appearing notochordal lesions of the skull base with specific attention to features that can make differentiation from low-grade chordoma more difficult, namely contrast uptake and bone erosion.

METHODS

In this retrospective case series, the authors describe the clinical outcomes of 58 patients with incidental benign-appearing notochordal lesions of the clivus, including those with minor radiological features of bone erosion or contrast uptake.

RESULTS

All lesions remained stable during a median follow-up of almost 3 years. Thirty-seven (64%) patients underwent contrast-enhanced MRI; lesions in 14 (38%) of these patients exhibited minimal contrast enhancement. Twenty-seven (47%) patients underwent CT; lesions in 6 (22%) of these patients exhibited minimal bone erosion.

CONCLUSIONS

These data make the case for monitoring selected cases of benign-appearing notochordal lesions of the clivus in the first instance even when there is minor contrast uptake or minimal bone erosion.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Neurosurgical focus
Neurosurgical focus CLINICAL NEUROLOGY-SURGERY
CiteScore
6.30
自引率
0.00%
发文量
261
审稿时长
3 months
期刊介绍: Information not localized
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信