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[一例晚期胃癌脑转移的病例报告]

[A case report of brain metastasis due to an advanced gastric cancer].

作者信息

Kojima Y, Watanabe T, Sanada T, Hiramatsu Y, Nakane Y, Yamamura M, Hioki K, Yamamoto M

机构信息

Dept. of Surgery, Kansai Med. Univ.

出版信息

Gan No Rinsho. 1988 Oct;34(12):1731-4.

PMID:3143022
Abstract

In April 1984, a 49-year-old male underwent a partial gastrectomy for advanced gastric cancer. At that time, many metastatic foci were found, for example, in the rib, the lumbar vertebrae, the cervical vertebrae, and in the abdominal lymph nodes. Approximately one year later, he suddenly became disturbed and lost consciousness. A metastatic brain tumor was diagnosed. To destroy this tumor the patient received a course of irradiation therapy with a total dose of 45 gys directed toward head. Several months later, however, recurrence of the tumor was detected at the same intracranial region. Thus, a course of therapy, employing a combination of FT-207 and ACNU, was initiated against the recurrent tumor. Though the tumor was not eliminated, the patient manifested few of the prior symptoms. This state has continued for several months, with the patient having survived for three years after his gastrectomy. The following report will present the details of this case.

摘要

1984年4月,一名49岁男性因晚期胃癌接受了部分胃切除术。当时,发现了许多转移灶,例如在肋骨、腰椎、颈椎以及腹部淋巴结中。大约一年后,他突然神志不清并失去意识。诊断为脑转移瘤。为了摧毁这个肿瘤,患者接受了针对头部的总剂量为45戈瑞的放射治疗疗程。然而,几个月后,在同一颅内区域检测到肿瘤复发。因此,针对复发性肿瘤开始了使用FT - 207和ACNU联合的治疗疗程。虽然肿瘤没有被消除,但患者先前的症状几乎消失了。这种状态持续了几个月,患者在胃切除术后存活了三年。以下报告将介绍该病例的详细情况。

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