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浆细胞性肉芽肿是一种慢性炎性增生,其中含有大量成熟的浆细胞,较多见于肺部、牙龈或结合膜,有少数发生于胃、肝、腹后壁、纵隔或甲状腺等处。可形成肿块,有类似肿瘤的临床表现。我们见到两例脑内浆细胞性肉芽肿,均曾误认为肿瘤。 病例1 女性,11岁。嗜眠、多饮、多尿二年,视力减退、斜视半年,四肢不能活动2天,昏迷7小时。行开颅探查,于手术中死亡。临床诊断颅内肿瘤。 尸体检查:脑重1350g,下丘脑灰结节、乳头体和视交叉部位肿胀,形成一个淡红色半透明的肿块。在乳头体额切面上,见两侧下丘脑为淡红
Plasma cell granuloma is a chronic inflammatory hyperplasia, which contains a large number of mature plasma cells, more found in the lungs, gums or conjunctiva, a few occurred in the stomach, liver, vestibular wall, mediastinal or thyroid and so on. Can form lumps, similar to the clinical manifestations of the tumor. We have seen two cases of intracerebral plasma cell granuloma, have mistakenly believe that the tumor. Case 1 Female, 11 years old. Somnia, polyhydration, polyuria two years, vision loss, strabismus six months, limbs can not move for 2 days, 7 hours coma. Line craniotomy, died during surgery. Clinical diagnosis of intracranial tumors. The corpse examination: brain weight 1350g, the hypothalamus gray nodules, papillary body and optic chiasm swelling, forming a reddish translucent mass. In the nipple body cut section, see both sides of the hypothalamus is pink