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起源于食管胃交界部/胃癌的柔脑膜转移:两例简要报告

Leptomeningeal metastases originated from esophagogastric junction/gastric cancer: A brief report of two cases.

作者信息

Kountourakis Panteleimon, Papamichael Demetris, Haralambous Haris, Michael Michael, Nakos Georgios, Lazaridou Sylvia, Fotiou Eleni, Vassiliou Vassilios, Andreopoulos Demetrios

机构信息

Department of Medical Oncology, BOC Oncology Centre, Nicosia 2006, Cyprus.

Department of Radiology, BOC Oncology Centre, Nicosia 2006, Cyprus.

出版信息

World J Gastrointest Oncol. 2018 Jan 15;10(1):56-61. doi: 10.4251/wjgo.v10.i1.56.

DOI:10.4251/wjgo.v10.i1.56
PMID:29375749
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5767794/
Abstract

Leptomeningeal carcinomatosis is a very rare manifestation in patients diagnosed with esophagogastric junction and gastric cancer. Its prognosis is ominous and therapy outcomes are disappointing. Herein, we present two patients; one initially diagnosed with gastric cancer and leptomeningeal carcinomatosis but no other evidence of metastatic disease and the other one initially diagnosed with esophagogastric junction cancer, who recurred solitary with leptomeningeal seedings several years after the initial diagnosis and treatment. Furthermore, a thorough and short review of the literature is carried out.

摘要

柔脑膜癌病在被诊断为食管胃交界部癌和胃癌的患者中是一种非常罕见的表现。其预后凶险,治疗结果令人失望。在此,我们报告两例患者;一例最初被诊断为胃癌合并柔脑膜癌病,但无其他转移疾病证据,另一例最初被诊断为食管胃交界部癌,在初次诊断和治疗数年之后出现孤立性复发并伴有柔脑膜播散。此外,还对文献进行了全面且简短的回顾。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7529/5767794/49305773a240/WJGO-10-56-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7529/5767794/4ea560e17b56/WJGO-10-56-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7529/5767794/df1a073e4fb3/WJGO-10-56-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7529/5767794/25f25a2efc25/WJGO-10-56-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7529/5767794/a4d9d61c7c68/WJGO-10-56-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7529/5767794/abc1c44a4581/WJGO-10-56-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7529/5767794/49305773a240/WJGO-10-56-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7529/5767794/4ea560e17b56/WJGO-10-56-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7529/5767794/df1a073e4fb3/WJGO-10-56-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7529/5767794/25f25a2efc25/WJGO-10-56-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7529/5767794/a4d9d61c7c68/WJGO-10-56-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7529/5767794/abc1c44a4581/WJGO-10-56-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7529/5767794/49305773a240/WJGO-10-56-g006.jpg

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本文引用的文献

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Clin Adv Hematol Oncol. 2010 Aug;8(8):567-8.
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Gastric leptomeningeal carcinomatosis: multi-center retrospective analysis of 54 cases.胃脑膜转移瘤:54 例多中心回顾性分析。
World J Gastroenterol. 2009 Oct 28;15(40):5086-90. doi: 10.3748/wjg.15.5086.
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Management of leptomeningeal malignancy.柔脑膜恶性肿瘤的管理
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Leptomeningeal carcinomatosis originating from gastric cancer: report of eight cases and review of the literature.源自胃癌的柔脑膜癌病:8例报告及文献复习
Am J Clin Oncol. 2003 Apr;26(2):165-70. doi: 10.1097/00000421-200304000-00013.
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The diagnostic accuracy of magnetic resonance imaging and cerebrospinal fluid cytology in leptomeningeal metastasis.磁共振成像和脑脊液细胞学检查在软脑膜转移中的诊断准确性
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Leptomeningeal carcinomatosis.柔脑膜癌病
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