一例罕见的结肠癌脑转移病例及其治疗与预后的简要综述

A Rare Case of Colon Cancer Metastasis to the Brain anda Brief Review of its Treatment and Prognosis.

作者信息

Majd Naveed, Simon Michael, Wagman Raquel, Gesner Lyle

机构信息

Department of Radiology, RWJBarnabas Health, Cooperman Barnabas Medical Center, 94 Old Short Hills Rd, Livingston, NJ 07039, USA.

Department of Radiation Oncology, RWJBarnabas Health, Cooperman Barnabas Medical Center, 94 Old Short Hills Rd, Livingston, NJ 07039, USA.

出版信息

Radiol Case Rep. 2021 Dec 28;17(3):696-699. doi: 10.1016/j.radcr.2021.11.047. eCollection 2022 Mar.

Abstract

Metastatic brain tumors are the most common brain masses in adults however it is rare for them to arise from colon cancer. We present a case of a metastatic colon cancer to the brain in a 68 year old male who presented with facial trauma after a fall he sustained secondary to neurological symptoms. He underwent computed tomography and magnetic resonance imaging of the head which revealed a brain mass. The mass was subsequently surgically resected and the diagnosis was confirmed. He went on to receive radiation therapy afterwards. In patients with a history of colon cancer, it is important for clinicians to be aware of the known risk factors for the development of brain metastases in order to best screen for these patients and optimize their prognosis. When brain metastases are discovered, multimodal therapy with surgery, radiation therapy, and chemotherapy provides patients with the most optimal survival.

摘要

转移性脑肿瘤是成人中最常见的脑肿块,然而,它们很少起源于结肠癌。我们报告一例68岁男性转移性结肠癌脑转移病例,该患者因跌倒导致面部外伤,继发神经系统症状。他接受了头部计算机断层扫描和磁共振成像,结果显示有一个脑肿块。随后对该肿块进行了手术切除,并确诊。之后他继续接受放射治疗。对于有结肠癌病史的患者,临床医生了解脑转移发生的已知危险因素非常重要,以便更好地对这些患者进行筛查并优化其预后。当发现脑转移时,手术、放疗和化疗的多模式治疗可为患者提供最佳生存机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2c5/8718809/91aca3546bd6/gr1.jpg

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