Wakisaka S, Goya T, Miyahara S, Morita Y, Asami N, Nakano S, Shimauchi M, Tashiro M, Kinoshita K
Dept. of Neursurgery, Miyazaki Medical College.
Gan No Rinsho. 1989 Nov;35(14):1645-9.
During the past 11 years, we have experienced 7 cases of a metastatic brain tumor with the primary lesion in the digestive organs. Their clinical courses were retrospectively compared with those of 19 cases with a brain metastases from pulmonary carcinomas. Leptomeningeal carcinomatosis was found in 2 patients of the former group but none in the latter. Six out of 7 brain metastases in the former group were found to have averaged 13 months before their appearance after the diagnosis of the primary lesion. In contrast, 14 out of 19 patients in the latter group had an onset with symptoms of a brain metastasis. The average survival after intracranial surgery on the metastatic tumor was 174 days for the former group and 268 days for the latter. The prognosis of a brain metastasis from a carcinoma of the digestive organ appears to be extremely probable.
在过去11年中,我们遇到了7例原发性病变在消化器官的脑转移瘤患者。对他们的临床病程与19例肺癌脑转移患者的病程进行了回顾性比较。前一组中有2例发现有软脑膜癌病,而后一组中未发现。前一组7例脑转移患者中,有6例在原发性病变诊断后平均13个月出现脑转移。相比之下,后一组19例患者中有14例以脑转移症状起病。转移性肿瘤颅内手术后,前一组的平均生存期为174天,后一组为268天。消化器官癌脑转移的预后似乎极有可能。