Scotté M, Delgallo G, Rabehenoina C, Michot F, Fréger P, Ténière P
Service de Chirurgie Générale et Digestive, Centre Hospitalier Universitaire, Rouen.
Ann Chir. 1997;51(10):1116-9.
Colorectal cancer is usually revealed by modifications of bowel habit and/or signs of haemorrhage. Hepatic and lung metastases are the common sites of metastatic involvement of this cancer. Brain metastasis are rare, especially when they are isolated. We report the case of a 37-year-old patient presenting with isolated brain metastasis revealing a rectal cancer. The patient was initially treated by surgical excision of the symptomatic brain metastasis, followed several days later by anterior resection of the rectum and whole-brain radiotherapy. This unusual strategy, due to the lack of preoperative diagnosis, did not improve the poor prognosis of brain metastasis.
结直肠癌通常通过排便习惯改变和/或出血迹象得以发现。肝转移和肺转移是该癌症转移累及的常见部位。脑转移较为罕见，尤其是孤立性脑转移。我们报告了一例37岁患者，以孤立性脑转移为首发表现，最终确诊为直肠癌。该患者最初接受了有症状的脑转移瘤手术切除，数天后进行了直肠前切除术及全脑放疗。由于缺乏术前诊断，这种不寻常的治疗策略并未改善脑转移的不良预后。
