神経病理　－消費者の立場より－

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  • Neuropathology; from view point of consumer
  • シンケイ ビョウリ ショウヒシャ ノ タチバ ヨリ

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Neuropathology plays very important role in dealing with patients who underwent surgery for the central nervous lesion. Diagnosis and treatment depend on the result of pathological examination. If neuropathologists can be called producers of the pathological diagnosis, we neurosurgeons are consumer because they use the diagnosis for the patient. In this paper we described our personal experiences how Kinki brain tumor pathology conference（KBTC）helped us with treating patients with correct diagnosis. Six representative cases of above mentioned example were presented. Their initial pathological diagnoses and final ones made at　KBTC were astrocytoma grade II – dysembryoplastic neuroepithelial tumor（DNT）, undetermined – cysticercosis, astrocytoma – acute disseminated encephalomyelitis（ADEM）, gemistocytic astrocytoma －mitochondrial encephomyopathy lactic acidosis and stroke like syndrome（MELAS）, cavernous angioma – angioglioma, xanthoma – Erdheim-Chester disease respectively. 　Those cases indicate that there are many diseases which mimic brain tumor and also many rare diseases which most of us are unfamiliar with. Systemic regional cooperation of neuropathologists, neurosurgeons and neuroradiologists are necessary for making correct diagnosis for difficult neuropathological cases.

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