Yibian
 Shen Yaozi 
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diseaseSkull Bone Tumor
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bubble_chart Overview

Skull bone tumor is a slow-growing, painless, broad-based benign bone tumor with often unclear boundaries from the surrounding skull. It can occur in any part of the skull, typically presenting as a single lesion, but multiple or clustered occurrences are also possible. It is more common in young and middle-aged adults. The main clinical manifestation is a localized mass, and surgical treatment is the primary approach.

bubble_chart Clinical Manifestations

  1. Small tumors usually have no subjective symptoms, while larger ones may cause mild local distending pain or numbness. Physical examination reveals a localized mass with a broad base, smooth surface, no adhesion to the scalp, and no tenderness.
  2. When located at the skull base or nasal sinuses, symptoms of cranial nerve involvement and stuffy nose may occur.

bubble_chart Diagnosis

  1. Painless skull mass in the head, with a broad base, smooth surface, no adhesion to the scalp, and no tenderness. If located at the skull base or sinuses, symptoms of brain compression and stuffy nose may occur.
  2. X-ray findings show two types: the dense type originates from the outer plate, with tumor tissue appearing as a uniformly dense shadow; the loose type shows tumor tissue as irregularly spotted areas of reduced density with clear tumor margins.

bubble_chart Treatment Measures

  1. Slow-growing asymptomatic small bone tumor, managed with observation.
  2. For rapidly growing, large tumors with symptoms of brain compression, surgical treatment is indicated. Large cranial defects should be repaired simultaneously.
This condition presents as a painless head mass with a broad base and slow growth. Patients with these symptoms should consult a specialist. There is no specific medication; management options include observation or surgery. However, tumors located in the paranasal sinuses or orbits often manifest clinically as sinusitis or proptosis. Once confirmed through examination, collaborative surgical resection with ENT or ophthalmology departments is recommended.

bubble_chart Cure Criteria

  1. Cure: Tumor removed, symptoms of brain compression disappeared or significantly improved, intracranial pressure normalized.
  2. Improvement: Mass reduced, symptoms of brain compression alleviated or stabilized.
  3. No cure: Mass enlarged, intracranial pressure increased, symptoms worsened.

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