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Michigan大学医学院1950年1月—1980年12月收治的32例松果体瘤患者作了回顾性分析。女14例。男19例,平均19岁(9个月—48岁),男女之比为1.4:1。最常见的临床症状和体征是头痛27/32(84%),Parinaud 氏综合征24/32(75%)。X线检查包括头颅摄影,普通平片,气脑造影,脑室造影,动脉造影及其最近CT 等。脑积水和第三脑室后肿块是最常见的X 线表现20/30(63%)。组织学诊断19例(60%)。29例作了术后放疗,多数病人选用Co~(60)照射,局部野7×7—12×12cm,剂量3000—5600CGY,平均4400CGY,5次/周,200CGY/次。根据不同的治疗分为3组:Ⅰ组:未经组织学
A retrospective analysis of 32 patients with pineal body tumors admitted to the University of Michigan Medical School from January 1950 to December 1980 was performed. Female 14 cases. 19 males, average 19 years old (9 months -48 years old), male to female ratio of 1.4: 1. The most common clinical signs and symptoms were headache 27/32 (84%) and Parinaud’s syndrome 24/32 (75%). X-ray examination, including head photography, plain film, pneumoperitoneum, ventriculography, arteriography and its most recent CT. Hydrocephalus and third ventricle posterior mass were the most common X-ray findings 20/30 (63%). Tissue diagnosis in 19 cases (60%). Twenty - nine patients underwent postoperative radiotherapy. Most patients were treated with Co ~ (60) irradiation, local field 7 × 7-12 × 12cm, and dose 3000-5600CGY with an average of 4400 CGY, 5 times / week and 200 CGY / time. According to different treatment is divided into 3 groups: Ⅰ group: no histology