Tajran D, Berek J S
Division of Gynecologic Oncology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Int J Gynecol Cancer. 2003 May-Jun;13(3):368-70. doi: 10.1046/j.1525-1438.2003.13189.x.
This is the first report of a patient with cervical cancer who underwent surgical resection of a solitary brain metastasis eight years following diagnosis. This case is unique because of the indolent nature of the tumor and because the patient had resection of metastatic lung nodules three years earlier. In this particular case, the patient's survival was not prolonged, so craniotomy and resection cannot be recommended in this disease, even when there has been a prolonged disease progression-free interval. Palliative management should include steroids and radiation therapy.
这是首例宫颈癌患者在确诊八年后接受孤立性脑转移瘤手术切除的报告。该病例独特之处在于肿瘤生长缓慢，且患者三年前已切除肺部转移结节。在这个特殊病例中，患者的生存期并未延长，因此即使疾病有较长的无进展生存期，也不建议对这种疾病进行开颅手术切除。姑息治疗应包括使用类固醇和放射治疗。
