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患者,男,12岁。主因反复头痛14天伴恶心、呕吐而就诊入院。患者头痛以前额部为重、恶心、呕吐每日3～4次。既往右额部有外伤史。头部CT检查显示右额、顶叶有一不规则混杂密度区,与正常脑质分界不清;造影后呈混杂强化,边界仍不清楚。查体见生命体征正常,头颅无畸形,两瞳孔无异常。颈轻度抵抗,生理反射存在,锥体束征阴性。住院1周后在全麻下行右额顶部肿物切除术,术中见瘤体位于右额顶部,约8×9×4cm大小,呈腐烂鱼状肉,肉眼见边缘尚清,肿瘤部位硬膜消失,肿瘤向颅骨内板、大脑凸面浸润,内板有约0.3×0.4cm大小多处骨质破坏,右额叶凸面下约3cm处有2×3×2cm大小浸润灶。肿瘤行肉眼下大部
Patient, male, 12 years old. Mainly because of repeated headache 14 days with nausea, vomiting and admitted to hospital. Headache in patients with heavy forehead, nausea, vomiting 3 to 4 times daily. Past history of the right forehead trauma. Head CT examination showed that the right forehead, the parietal lobe has an irregular mixed density, and the normal brain is not clear boundaries; contrast enhanced after contrast, the border is still not clear. Physical examination showed normal vital signs, no deformity of the skull, two pupils no abnormalities. Neck mild resistance, the presence of physiological reflex cone sign negative. One week after hospitalization, the right forehead was removed under general anesthesia. At the top of the right forearm, the tumor was located at the top of the right forearm. The size of the tumor was about 8 × 9 × 4 cm, showing rotten fish-like flesh. Disappeared, the tumor to the skull plate, brain convex surface infiltration, the inner plate about 0.3 × 0.4cm size of multiple bone destruction, the right frontal lobe about 3cm at 2 × 3 × 2cm size infiltration stove. Right now most of the cancer line