Agrawal A, Kumar A, Sinha A K, Kumar M, Pandey S R, Khaniya S
Department of Surgery, BP Koirala Institute of Health Sciences, Dharan, Nepal.
Singapore Med J. 2007 May;48(5):e154-6.
Uterine cervix carcinoma usually spread by local extension and through the lymphatics to the retroperitoneal lymph nodes. Brain metastases are extremely rare in the course, are usually seen late and have poor prognosis. We report a 49-year-old woman with squamous cell carcinoma of the cervix who developed right parieto-occipital lobe metastasis after three years of treatment of the primary disease. The presenting symptoms of the metastatic disease were hemiparesis, headache, and vomiting. Her hemiparesis improved after surgical excision of the metastasis. Treatment in these cases is mainly palliative but may offer symptomatic relief and improvement in the quality of life.
子宫颈癌通常通过局部蔓延并经淋巴管转移至腹膜后淋巴结。脑转移在病程中极为罕见，通常出现较晚且预后较差。我们报告一名49岁患有宫颈鳞状细胞癌的女性，在原发性疾病治疗三年后发生了右顶枕叶转移。转移性疾病的主要症状为偏瘫、头痛和呕吐。转移灶手术切除后她的偏瘫症状有所改善。这些病例的治疗主要是姑息性的，但可缓解症状并改善生活质量。
