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骨巨细胞瘤(Giant cell tumor,GCT)是一种局部具有侵袭力的良性肿瘤,多见于长骨干骺端,颅骨GCT十分罕见,占所有GCT的不到1%。颅骨GCT的临床、影像学表现不典型,且容易与某些疾病相混淆,因此术前诊断困难。手术切除是其主要治疗方法,但术后是否需要放疗存在争议。随着成像设备、免疫组化技术、显微神经外科及放疗设备的发展,颅骨GCT在影像诊断、病理诊断、手术及术后放疗等方面取得了一定进展,现就颅骨GCT的诊断、治疗进展做一综述。
Giant cell tumor (Giant cell tumor, GCT) is a locally invasive benign tumor, more common in the long bone metaphysis, GCT of the skull is very rare, accounting for less than 1% of all GCT. Skull GCT clinical, radiographic findings are not typical, and easily confused with certain diseases, preoperative diagnosis difficult. Surgical resection is the main treatment, but whether radiotherapy is needed after surgery is controversial. With the development of imaging equipment, immunohistochemistry, microneurosurgery and radiotherapy equipment, skull GCT has made some progress in imaging diagnosis, pathological diagnosis, operation and postoperative radiotherapy. The diagnosis and treatment progress of GCT of the skull Do a review.