Magnavita N, Placentino R A, Mei D, Ferraro D, Di Trapani G
Institute of Occupational Medicine, Catholic University School of Medicine, Rome, Italy.
Neurol Sci. 2003 Apr;24(1):31-3. doi: 10.1007/s100720300018.
We report the case of a policeman who suffered a severe head injury to the right temporoparietal lobe while driving a police car. Four years later, the patient developed a neoplasm at the precise site of the meningocerebral scar. Histological examination confirmed a glioblastoma multiforme adjacent to the dural scar. Radiological documentation of the absence of tumor at the time of injury, exact localization of the neoplasm in the injured cerebral area, and latency of the cancer supported the hypothesis of a causal relationship with brain trauma. Physicians faced with brain neoplasms in adults should carefully investigate the patient's personal history of head trauma. When a relationship with occupational head injury is probable, reporting of suspect occupational illness is compelling.
我们报告了一名警察的病例，他在驾驶警车时右侧颞顶叶遭受严重头部损伤。四年后，患者在硬脑膜脑瘢痕的精确部位出现了肿瘤。组织学检查证实为多形性胶质母细胞瘤，毗邻硬脑膜瘢痕。受伤时肿瘤不存在的影像学记录、肿瘤在受伤脑区的精确定位以及癌症的潜伏期支持了与脑外伤存在因果关系的假设。面对成人脑肿瘤的医生应仔细调查患者的头部外伤个人史。当可能与职业性头部损伤有关时，报告可疑职业疾病是必要的。
