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Neurological Surgery No Shinkei Geka Volume 7, Issue 11 （November 1979）

Neurological Surgery 脳神経外科 7巻11号（1979年11月発行）

Japanese English

症例

頭蓋内進展を呈した頭蓋骨巨細胞腫瘍の1例 Primary Giant Cell Tumor of the Frontal Bone with Adjacent Intracranial Involvement 上野一朗 ¹ , 豊島駿 ¹ , 淵之上徳郎 ¹ , 矢作保治 ¹ , 中村俊彦 ² , 久保長生 ³ Ichiro UENO ¹ , Susumu TOYOSHIMA ¹ , Tokuro FUCHINOUE ¹ , Yasuzi YAHAGI ¹ , Toshihiko NAKAMURA ² , Osami KUBO ³ ¹東京都立豊島病院脳神経外科 ²東京都立豊島病院病理 ³東京女子医科大学脳神経センター脳神経外科 ¹Neurosurgical Department of Toshima Municipal Hospital of Metropolitan Tokyo ²Department of Clinical Pathology of Toshima Municipal Hospital of Metropolitan Tokyo ³Department of Neurosurgery, Neurological Institute, Tokyo Women's Medical College キーワード： Giant cell tumor , Frontal bone , Intracerebral extension , Dural infiltration Keyword: Giant cell tumor , Frontal bone , Intracerebral extension , Dural infiltration pp.1101-1108

発行日 1979年11月10日 Published Date 1979/11/10

DOI https://doi.org/10.11477/mf.1436201073

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Abstract 文献概要
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Ⅰ．はじめに

　1818年Cooperの記載以来巨細胞腫瘍に関しては数数の報告がみられるが，本腫瘍は骨原発腫瘍の4％を占めるにすぎず，長管骨特に膝関節部に好発する．頭蓋骨での発生はきわめて稀であり，現在までにわずかに27例の文献的報告をみるだけである^2）．われわれは前頭骨原発の巨細胞腫瘍が硬膜に浸潤し，さらに脳内にまで侵入した1例を経験したので報告する．

Giant cell tumors of the skull are rare. There were only 27 reported cases in the literatures as far as we could collect. We have presented a case of giant cell tumor originated from the right frontal bone, and have reviewed only one previously reported case. A 31-year-old male consulted us, on July 25 1977, with the complaint of right hemicrania which continued for about a month. On August 3, he was admitted because of increased headache and nausea. On neurological examination at admission, his consciousness was slightly drowsy and monopedal standing was unstable bilaterally.