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閲覧数:13
ID 28626835
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本文 TohoJMed003002071.pdf
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URI
タイトル Total Resection With Long-Term Globe Preservation for Optic Pathway Glioma Case Report and Review of the Literature
別タイトル
著者
Masuda, Hiroyuki
Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Kondo, Kosuke
Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Nemoto, Masaaki
Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Fukushima, Daisuke
Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Ando, Syunpei
Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Sugo, Nobuo
Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Harada, Naoyuki
Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University
[役割]Author
出版地 Tokyo
出版者 The Medical Society of Toho University
形態
上位タイトル
Toho Journal of Medicine (Toho Journal of Medicine). Vol.3, No.2  (2017. 6) ,p.71- 74
識別番号
ISSN
21891990
DOI
URI
JaLCDOI info:doi/10.14994/tohojmed.2016.033
抄録 We report a case of optic pathway glioma (OPG) treated by full resection with long-term globe preservation. A 3-year-old Asian boy with right exophthalmos and visual loss received a diagnosis of right intraorbital tumor at another hospital and was referred to our department. Magnetic resonance images showed a tumor localized from the intraorbital cavity to the optic nerve, without invasion of the globe or optic chiasm. The tumor was fully resected with the optic nerve, and the ophthalmic artery was preserved. After the operation, he was discharged with loss of vision and eye movement disorder but without other complications. The pathological diagnosis was pilocytic astrocytoma. Magnetic resonance images obtained 5 years after the operation confirmed the absence of tumor recurrence, preservation of globe form, and absence of enophthalmos and facial deformity. Total resection is associated with a good prognosis in patients with an anteriorly located optic pathway glioma, as was confirmed in the present case. For cosmetic and psychological reasons, surgical treatment for children should include globe preservation and maintenance of globe blood flow.
キーワード
optic pathway glioma
pilocytic astrocytoma
intraorbital tumor
globe preservation
NDC
注記 Case Report
言語
eng
資源タイプ TOHO University Scholarly Publication
ジャンル Journal Article
著者版フラグ publisher
アクセス条件 東邦大学医学会
Index
/ Public / Toho Journal of Medicine / Vol.3 / No.2(p.50-74)
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