Clinical Analysis Of 45 Patients With Cerebellar Glioma

Objective: To investigate the pathology and diagnosis of cerebellar glioma.To discuss the relationship between postoperative survival and the tumor WHO grade of cerebellar glioma;To analyze the effect of age on postoperative survival of cerebellar glioma.The relationship between tumor hemorrhage,necrosis,edema,boundary and tumor grading was summarized according to the imaging data.The relationship between tumor location and postoperative survivalMethods: A retrospective analysis of 45 patients with cerebellar glioma treated by neurosurgical treatment,pathological diagnosis,imaging characteristics and postoperative survival during the period from January 2010 to March 2017.Results: In 45 cases of patients,six of the seven patients with recurrence were operated.Postoperative pathological diagnosis: pilocytic astrocytoma in 17cases(33.3%),15 cases of astrocytoma(29.4%),anaplastic astrocytoma in 9 cases(17.6%),glioblastoma in 10 cases(19.6%).There were 51 cases of total resection under tumor microscopy,and the total cut rate was 100%.Among them,25cases(49%)were male and 26 were female(51%).The age range is 2 to 66,the average age was 35.27±22.86 years old.The average length of hospital stay was 25.13±11.90 days;The average survival time was 1080.04±808.85.Statistical analysis indicated that age was related to the grade of glioma,and the higher the age,the higher the tumor grade.The grade of glioma is related to postoperative survival,and the shorter the postoperative survival period of patients with higher grade.Ki-67 was associated with the grade of glioma,and the higher the ki-67 value,the higher the tumor grade.The age of glioma patients was related to postoperative survival,and the older the age,the shorter the survival period.The position of glioma was not associated with postoperative survival.Conclusion: Patients with cerebellar glioma in the lower age group had lower grade.Advanced age group had higher tumor grade.The overall survival period of cerebellar glioma is longer and the quality of life is better because of the higher incidence of low grade cerebellar glioma.