Fujiwara T, Mino S, Nagao S, Ohmoto T
Department of Neurological Surgery, Kagawa Medical School, Japan.
J Neurosurg. 1992 Jan;76(1):148-51. doi: 10.3171/jns.1992.76.1.0148.
A case of choriocarcinoma with brain and lung metastasis is reported. The patient was admitted for treatment of a cerebral hemorrhage from neoplastic aneurysms and, following removal of the hematoma and resection of the aneurysms, her carcinoma was successfully managed with chemotherapy. She has survived for 6 years after onset without neuroimaging evidence of recurrence. Surgical treatment of metastatic lesions followed by prolonged intensive chemotherapy are indicated for the improved prognosis of choriocarcinoma.
报告一例伴有脑和肺转移的绒毛膜癌病例。该患者因肿瘤性动脉瘤导致脑出血入院治疗,在清除血肿和切除动脉瘤后,其癌症通过化疗得到成功控制。发病后她已存活6年,神经影像学检查未发现复发迹象。对于绒毛膜癌,为改善预后,应先对转移灶进行手术治疗,然后进行长期强化化疗。