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《Journal of the Fourth Military Medical University》 2007-17
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Influence of tumoral location,size and histology on peritumoral brain edema in intracranial meningiomas

YANG Zhi-Lin,KE Yi-Quan,XU Ru-Xiang,PENG Ping Department of Neurosurgery,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China  
AIM:To analyze the influence of tumoral location,size and histological types on peritumoral brain edema(PTBE)in intracranial meningiomas.METHODS:A retrospective study of 151 intracranial meningioma patients who underwent surgical removal of the tumor was performed.The tumor location,size and edema index were determined by computed tomography and(or)MRI.The histological types were determined post-operatively.The Wilcoxon test and χ2-test were performed to evaluate the PTBE incidence and edema index.RESULTS:Frontobasal and temporobasal meningiomas showed a significant increase in the edema incidence and the edema index(P0.05);WHO-III-meningiomas showed a significantly higher edema incidence(81.8% vs 57.8%,P0.001)and edema index(81.8% vs 57.8%,P0.001)than WHO-I-meningiomas;Fibrous meningiomas displayed a significantly lower edema incidence than secretory meningioma(1.5 vs 7.4,P0.01)and transitional meningiomas(1.5 vs 2.8,P0.05).An increasing tumor size was associated with an increasing PTBE incidence,but the edema index showed an inverse relationship to tumor size.CONCLUSION:There are close relationships among tumoral location,size,histological types and PTBE in intracranial meningioma.
【CateGory Index】: R739.45
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