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目的分析5例腹膜胶质瘤病(GP)的临床、影像与病理特征。方法回顾性分析5例GP患者的临床资料、影像学及病理学特征,并复习相关文献。结果 5例患者原发瘤均为卵巢未成熟性畸胎瘤,病理学肿瘤分级为Ⅱ级3例、Ⅲ级2例,5例均见成熟的神经胶质组织,1例还可见原始神经管,1例可见淋巴结受累。术后4例行化疗。电话随访4例均健在。结论 GP非常罕见,其治疗及预后主要与原发瘤分级相关,可能存在较高复发种植风险,须长期随访观察。
Objective To analyze the clinical, imaging and pathological features of 5 cases of peritoneal gliomatosis (GP). Methods Retrospective analysis of 5 cases of GP patients with clinical data, imaging and pathological features, and review the relevant literature. Results The primary tumors in all 5 patients were immature ovarian teratoma. The pathological grade was grade Ⅱ in 3 cases, grade Ⅲ in 2 cases, mature glia in 5 cases and primary neural tube in 1 case , 1 case showed lymph node involvement. After 4 cases of chemotherapy. Telephone follow-up in 4 cases are alive. Conclusion GP is very rare. The treatment and prognosis are mainly related to the grade of primary tumor. There may be a high risk of recurrence and long-term follow-up.