Low-Grade Astrocytoma Associated with Abscess Formation: Case Report and Literature Review

星狀細胞瘤伴隨腦膿瘍的發生－病例報告以及文獻回顧

蔡泰欣(Tai-Hsin Tsai) ； 黃燕芬(Yan-Fen Hwang) ； 黃旭霖(Shiuh-Lin Hwang) ； 洪振翔(Chen-Hsiang Hung) ； 朱晟瑋(Cheng-Wei Chu) ； 賴文啟(Boon-Kee Lua) ； 林志隆(Chih-Lung Lin) ； 李昆興(Kung-Shing Lee) ； 羅永欽(Joon-Khim Loh) ； 關暟麗(Aij-Lie Kwan) ； 王致仁(Ch)

《The Kaohsiung Journal of Medical Sciences》 24卷5期 (2008/05) Pp. 262-269

摘要

一位52歲男性因失語症發現右側腫瘤，術前診斷為疑似腦膿瘍或者是囊狀壞死性腦腫瘤接受手術，手術中意外發現膿瘍存在，術後診斷為星狀細胞瘤伴隨腦膿瘍，回顧文獻星狀細胞瘤伴隨腦膿瘍發生的病例相當罕見。回顧以往有關於腦腫瘤合併腦膿瘍以及星狀細胞瘤合併腦膿瘍發生的文獻，我們討論有關於常見會發生腦膿瘍的腦腫瘤、以及常見致病菌以及發生的機制，重要的是是否可以經由臨床症狀、電腦斷層掃描、傳統的核磁共振、核磁共振光譜，在術前鑑別診斷是腦腫瘤、腦膿瘍或者腦腫瘤合併腦膿瘍。

關鍵字

星狀細胞瘤 ； 腦膿瘍 ； 核磁共振光譜

並列摘要

A rare case of low-grade astrocytoma associated with abscess formation occurred in a 52-year-old man presenting with Broca's aphasia. He underwent craniotomy and tumor removal under the impression of brain tumor with necrotic cystic change. Abscess accumulation within the intra-axial tumor was found intraoperatively. Literature related to brain abscess with brain tumor is reviewed, with an emphasis on abscesses with astrocytoma. We discuss the common brain tumors that are associated with abscess, pathogens that coexist with brain tumor, and the pathogeneses of coexisting brain abscess and tumor. It is very important to know how to differentiate between and diagnose a brain abscess and tumor, or brain abscess with tumor, preoperatively from clinical presentation and through the use of computed tomography, conventional magnetic resonance imaging, diffusion-weighted imaging or magnetic resonance spectroscopy.

並列關鍵字

astrocytoma ； brain abscess ； magnetic resonance spectroscopy