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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.65 (2019) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/1001
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| タイトル: | Simultaneous multiple craniotomies in the management of multifocal malignant brain lesions: case reports |
| 著者: | Tanei, Takafumi
Fujii, Masazumi
Takebayashi, Shigenori
Nakahara, Norimoto
Wakabayashi, Toshihiko |
| 学内所属: | 脳神経外科学講座 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 65 |
| 号: | 2 |
| 開始ページ: | 43 |
| 終了ページ: | 49 |
| 発行日: | 2019年 |
| 抄録: | The appropriate strategy for treating multiple malignant brain tumors has not been well established. We discuss the indications and surgical considerations of multiple craniotomies in the same surgical session, and present three such cases. A 41-year-old woman (case 1) and a 65-year-old man (case 2), both presented with two metastatic brain lesions, one in each hemisphere. The third case was a 65-year-old woman with multiple recurrent atypical meningiomas, who underwent surgical removal in two stages. In the first surgery, only the superior sagittal sinus lesion was excised. Then in the second surgery, multiple disseminated bilateral convexity tumors were excised through a craniotomy on each side. All cases had a remarkable neurological improvement immediately after surgery. We suggest that the indications for surgical removal of multiple brain tumors with two or more craniotomies in the same surgical session are: 1) progressing neurological symptoms, 2) tumors with a maximum diameter more than 2 cm, 3) resistance to radiation and/or chemotherapy, 4) ability to tolerate the scheduled surgical time, 5) vital prognosis anticipated to be more than 3 months, 6) expectation of significant neurological improvement, and 7) single-session surgery not carrying more risk than multiple surgeries. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/1001 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/1001/1/FksmJMedSci_65_p43.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.2019-06 |
| PubMed番号: | 31292304 |
| 関連ページ: | https://doi.org/10.5387/fms.2019-06 |
| 権利情報: | © 2019 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license. |
| 権利情報: | https://creativecommons.org/licenses/by-nc-sa/4.0/ |
| 出現コレクション: | Vol.65 (2019)
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