Matsumoto Hiroaki, Yoshida Yasuhisa
Department of Neurosurgery, Eisyokai Yoshida Hospital, Kobe, Japan.
Asian J Neurosurg. 2015 Jan-Mar;10(1):35-9. doi: 10.4103/1793-5482.151507.
A 68-year-old man presented to our hospital with a 1-month history of slowly progressing altered mental status and gait disturbance. Magnetic resonance imaging and abdominal computed tomography revealed advanced pancreatic cancer (PC) with brain and para-aortic lymph node metastases. Gross total resection of the brain metastatic tumor was performed. Although symptoms improved, the patient died 3 months postoperatively. In general, the prognosis for PC patients with brain metastasis is very poor. Surgical resection of brain metastasis may play a very limited role in allowing long-term survival of patients for whom the primary PC is controlled or with particular oncocytic-type tumors.
一名68岁男性因精神状态改变和步态障碍缓慢进展1个月前来我院就诊。磁共振成像和腹部计算机断层扫描显示晚期胰腺癌（PC）伴脑转移和主动脉旁淋巴结转移。对脑转移瘤进行了全切除。尽管症状有所改善，但患者术后3个月死亡。一般来说，脑转移的PC患者预后很差。对于原发性PC得到控制的患者或特定嗜酸细胞型肿瘤患者，手术切除脑转移瘤在实现长期生存方面可能作用非常有限。
