采用射波刀治疗的肝细胞癌脑转移

Brain metastasis from hepatocellular carcinoma treated with a cyber-knife.

作者信息

Hiraoka Atsushi, Horiike Norio, Koizumi Yohei, Tazuya Nayu, Ichiryu Misa, Nakahara Hiromasa, Ochi Hironori, Tanabe Atsushi, Doi Hirokazu, Kodama Akihiro, Hasebe Aki, Ichikawa Soichi, Miyamoto Yasunao, Ninomiya Tomoyuki, Asagi Akinori, Matsubara Hiroshi, Nadano Seijin, Nishizaki Osamu, Umeda Masakichi

机构信息

Department of Gastroenterology, Ehime Prefectural Central Hospital, Matsuyama.

出版信息

Intern Med. 2008;47(22):1993-6. doi: 10.2169/internalmedicine.47.1373. Epub 2008 Nov 17.

DOI:10.2169/internalmedicine.47.1373

PMID:19015615

Abstract

A 70-year-old right-handed Japanese man who had undergone surgical resection for hepatocellular carcinoma (HCC) 2 years earlier was diagnosed with lung metastasis 3 months before consulting our hospital with a headache and visual field disturbance. Head computed tomography revealed a brain tumor with an intracerebral hemorrhage. Using (99m)Tc-PMT (pyridoxal-5-methly-triptophan) scintigraphy, we determined that the brain tumor was metastasis from the HCC and utilized the cyber-knife for treatment. The prognosis of patients with brain metastasis from HCC has been reported to be poor. Use of the cyber-knife was non-invasive, and proved to be effective for improving prognosis and quality of life.

摘要

一名70岁右利手日本男性，2年前因肝细胞癌（HCC）接受了手术切除，在因头痛和视野障碍前来我院就诊的3个月前被诊断为肺转移。头部计算机断层扫描显示有一个伴有脑出血的脑肿瘤。通过使用（99m）Tc-PMT（吡哆醛-5-甲基色氨酸）闪烁扫描，我们确定该脑肿瘤为HCC转移瘤，并使用射波刀进行治疗。据报道，HCC脑转移患者的预后较差。射波刀的使用是非侵入性的，并且被证明对改善预后和生活质量有效。