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Outcomes of Preserving the Hypertrophic Arachnoid Membrane in the Brain-meningioma Interface : Long-term Follow-up.
http://hdl.handle.net/10422/00013174
http://hdl.handle.net/10422/000131745bc134ec-4e2a-4ed2-8c99-b74e356991b5
名前 / ファイル | ライセンス | アクション |
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nmc.oa.2021-0209 (1.8 MB)
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This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license.
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
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Supplementary Table 1 (76.6 kB)
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This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license.
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
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Supplementary Table 2 (78.9 kB)
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This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license.
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
Item type | 学術雑誌論文 / Journal Article(1) | |||||
---|---|---|---|---|---|---|
公開日 | 2022-01-04 | |||||
タイトル | ||||||
タイトル | Outcomes of Preserving the Hypertrophic Arachnoid Membrane in the Brain-meningioma Interface : Long-term Follow-up. | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | arachnoid | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | oncology | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | pia mater | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | recurrence | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | resection | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
NAKASU, Yoko
× NAKASU, Yoko× MITSUYA, Koichi× NAKASU, Satoshi× DEGUCHI, Shoichi× HAYASHI, Nakamasa |
|||||
著者別名 |
中洲, 庸子
× 中洲, 庸子× 三矢, 幸一× 中洲, 敏× 林, 央周 |
|||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Abnormal hypertrophic arachnoid membranes are often observed in the brain-meningioma interface during microsurgery. They contain fibrosis and tumor cell clusters; however, preservation of the membranes does not always cause recurrence from the brain surface, and the optimal treatments in the interface remain unclear. We investigated the incidence of recurrence on the brain surface following extra-arachnoid dissection with an approach emphasizing preservation of the arachnoid membranes in meningiomas of World Health Organization (WHO) Grade I. The features of dissection cleavages in the interface were prospectively recorded at surgery. The patients were followed up with MR imaging regularly. In total, 111 patients were included. The median follow-up time was 97.0 (interquartile range [IQR] 70.0-124.0) months. The cleavages in the interface were classified into three subgroups: the Extra-H group (n = 56) with extra-arachnoid resection and preservation of hypertrophic arachnoid membranes, the Extra-N group (n = 39) with extra-arachnoid resection having normal membranes, and the Subpial resection group (n = 16). Tumors recurred in 13 (11.7%) patients at both the brain and dura mater (n = 1) or at the dura mater alone (n = 12). The median recurrence-free survival (RFS) of all recurrences was significantly related to the Simpson grades (P <0.01). For brain surface recurrence, the median RFS was not related to the subgroups. The Karnofsky Performance Scores (KPSs) significantly improved in the patients except for the Subpial group at 3 months after surgery. This study revealed that hypertrophic arachnoid membranes preserved on the brain surface rarely caused recurrence from the brain in WHO Grade I meningiomas after a long-term follow-up. | |||||
書誌情報 |
en : Neurologia medico-chirurgica 発行日 2021-10-29 |
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出版者 | ||||||
出版者 | The Japan Neurosurgical Society | |||||
別言語の出版者 | ||||||
出版者 | 一般社団法人 日本脳神経外科学会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1349-8029 | |||||
PMID | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | PMID | |||||
関連識別子 | 34719581 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.2176/nmc.oa.2021-0209 | |||||
関連名称 | 10.2176/nmc.oa.2021-0209 | |||||
権利 | ||||||
権利情報 | © 2021 The Japan Neurosurgical Society | |||||
フォーマット | ||||||
内容記述タイプ | Other | |||||
内容記述 | ||||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
資源タイプ | ||||||
内容記述タイプ | Other | |||||
内容記述 | Journal Article |