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[直肠腺癌脑转移:一例报告并文献复习]

[Brain metastasis from rectal adenocarcinoma: about a case and review of the literature].

作者信息

Samlali Hamza, Bouchbika Zineb, Bennani Zineb, Taleb Amina, Benchekroune Nadia, Jouhadi Hassan, Tawfiq Nezha, Sahraoui Souha, Benider Abdellatif

机构信息

Centre Mohamed VI des Traitements de cancer CHU ibn Rochd, Casablanca, Maroc.

出版信息

Pan Afr Med J. 2017 Feb 1;26:58. doi: 10.11604/pamj.2017.26.58.9826. eCollection 2017.

Abstract

The most common primary sites for bone metastases in men are lung, prostate, kidney, thyroid or bladder. Colorectal origin is rare. Few studies have described this type of metastases; the axial skeleton or the pelvis are the most common metastasis locations. Craniofacial location is exceptional. We here report the case of a 38 years old man treated for metastatic rectal cancer metastasized to temporal bone. He initially had undergone surgical procedure for low anterior resection, tumor was classified as pT3N0M0; 24 months after the patient had left exophthalmos revealing a temporal tumoral process. Evolution and context favoured metastasis. In conclusion, this study reporting an exceptional case of craniofacial bone metastasis from multi-metastatic colorectal cancer will enrich the scarce data reported in the literature related to bone metastases from primary colorectal cancer.

摘要

男性骨转移最常见的原发部位是肺、前列腺、肾、甲状腺或膀胱。结直肠来源的很少见。很少有研究描述过这种类型的转移;中轴骨骼或骨盆是最常见的转移部位。颅面部转移极为罕见。我们在此报告一例38岁男性转移性直肠癌转移至颞骨的病例。他最初接受了低位前切除术,肿瘤分类为pT3N0M0;24个月后患者出现左眼突出,提示颞部有肿瘤病变。病情进展及相关情况支持转移的诊断。总之,本研究报告了一例多灶性结直肠癌颅面部骨转移的罕见病例,将丰富文献中关于原发性结直肠癌骨转移的稀缺数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dff/5398856/697db3bf11c0/PAMJ-26-58-g001.jpg

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