Grove A, Bisgård C, Kristensen H B
Ugeskr Laeger. 1989 Sep 11;151(37):2377-9.
Two cases of meningeal carcinomatosis accompanying occult gastric cancer are presented. The symptomatology in meningeal carcinomatosis is characterized by rapidly progressive, multifocal CNS dysfunction but is otherwise nonspecific so that several differential diagnoses may be considered. Occurrence of carcinoma cells in the cerebrospinal fluid is diagnostic for meningeal carcinomatosis. Treatment is purely palliative.
本文报告2例隐匿性胃癌伴脑膜癌病的病例。脑膜癌病的症状表现为快速进展的多灶性中枢神经系统功能障碍,但除此之外并无特异性,因此可能需要考虑多种鉴别诊断。脑脊液中出现癌细胞可诊断为脑膜癌病。治疗仅为姑息性治疗。