前列腺囊肿性脑实质转移：2例报告并文献复习

Cystic prostate metastases to the brain parenchyma: report of two cases and review of the literature.

作者信息

Tsai V, Kim S, Clatterbuck R E, Ewend M G, Olivi A

机构信息

Department of Neurosurgery The Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA.

出版信息

J Neurooncol. 2001 Jan;51(2):167-73. doi: 10.1023/a:1010606427945.

DOI:10.1023/a:1010606427945

PMID:11386414

Abstract

Prostate carcinoma is among the leading causes of cancer death for American men. Intracranial metastases from prostatic adenocarcinoma are unusual, and cystic metastases are rare. Two cases of cystic intraparenchymal metastases from prostatic adenocarcinoma are reported. Our comprehensive literature review revealed that prostatic adenocarcinoma metastases are rarely diagnosed antemortem. If these lesions are detected early and treated with surgery and radiation therapy, survival time for patients with prostatic adenocarcinoma may be increased; however, given the rarity of these cases, routine CNS imaging of men with metastatic prostate cancer does not seem warranted.

摘要

前列腺癌是美国男性癌症死亡的主要原因之一。前列腺腺癌的颅内转移并不常见，而囊性转移则极为罕见。本文报告了两例前列腺腺癌的实质性内囊性转移病例。我们全面的文献综述显示，前列腺腺癌转移在生前很少被诊断出来。如果这些病变能早期发现并接受手术和放射治疗，前列腺腺癌患者的生存时间可能会延长；然而，鉴于这些病例的罕见性，对转移性前列腺癌男性患者进行常规的中枢神经系统成像检查似乎没有必要。