Costa Ricardo, Costa Rubens B, Bacchi Carlos, Sarinho Filipe
Department of Oncology, Real Hospital Portugues, Recife, Brazil.
BMJ Case Rep. 2014 Apr 9;2014:bcr2013203506. doi: 10.1136/bcr-2013-203506.
Brain metastases occur in up to 10-30% of patients with cancer. Metastatic lesions are usually diagnosed as multiple mass lesions at the junction of the grey and white matter with associated perilesional vasogenic oedema. Cysticercosis is an endemic disease in underdeveloped countries of Africa, Central and South America and is the most common parasitic infection of the central nervous system. The classical radiological finding of neurocysticercosis is cystic lesions showing the scolex in the brain parenchyma. We report a case of metastatic adenocarcinoma of the lung presenting with cystic brain lesions mimicking neurocysticercosis.
脑转移瘤发生在高达10%-30%的癌症患者中。转移瘤通常被诊断为在灰质和白质交界处的多个肿块病变，并伴有病灶周围血管源性水肿。囊尾蚴病是非洲、中美洲和南美洲欠发达国家的一种地方病，是中枢神经系统最常见的寄生虫感染。神经囊尾蚴病的典型影像学表现是脑实质内有显示头节的囊性病变。我们报告一例表现为酷似神经囊尾蚴病的囊性脑病变的肺转移性腺癌病例。
