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乳腺癌的隐匿伴发疾病:脑膜脑炎作为副肿瘤性表现——1例罕见的乳腺浸润性导管癌病例报告

Breast cancer's hidden partner: meningoencephalitis as a paraneoplastic revelation: a rare presentation of invasive ductal carcinoma of breast: a case report.

作者信息

Gul Muhammad Hamza, Arooj Hajira, Siddiqui Aisha, Abdullah Lava, Waseem Zainab, Hashmi Muhammad Usman

机构信息

Department of Internal Medicine, Bacha Khan Medical College Mardan, Khyber Pakhtunkhwa.

Departments of Internal Medicine.

出版信息

Ann Med Surg (Lond). 2023 Nov 16;86(1):512-516. doi: 10.1097/MS9.0000000000001499. eCollection 2024 Jan.

Abstract

INTRODUCTION AND IMPORTANCE

Paraneoplastic neurologic syndromes encompass a group of neurologic disorders arising from pathological processes unrelated to metastasis, metabolic disturbances, infections, coagulopathy, or treatment-related side effects. These syndromes can affect various regions of the nervous system, resulting in diverse clinical manifestations.

CASE PRESENTATION

The authors present a rare case of anti-amphiphysin-associated meningoencephalitis in a South Asian Pakistani woman. Initially, the patient was managed for suspected infectious meningitis, but empirical treatment failed to yield improvement. Subsequent investigations unveiled a paraneoplastic syndrome secondary to breast cancer.

DISCUSSION

Diagnosing these clinical entities is challenging due to their multifaceted presentations, often leading to delayed identification, increased patient suffering, economic burdens, and preventable complications.

CONCLUSION

Anti-amphiphysin-associated meningoencephalitis is a rare manifestation of paraneoplastic syndromes. It is crucial to raise awareness among healthcare professionals about the diverse presentations of paraneoplastic syndromes.

摘要

引言与重要性

副肿瘤性神经系统综合征包括一组由与转移、代谢紊乱、感染、凝血障碍或治疗相关副作用无关的病理过程引起的神经系统疾病。这些综合征可影响神经系统的各个区域,导致多种临床表现。

病例介绍

作者报告了一例南亚巴基斯坦女性抗 amphiphysin 相关脑膜脑炎的罕见病例。最初,该患者因疑似感染性脑膜炎接受治疗,但经验性治疗未能改善病情。随后的检查发现这是一例继发于乳腺癌的副肿瘤综合征。

讨论

由于这些临床实体的表现具有多面性,诊断具有挑战性,常常导致诊断延迟、患者痛苦增加、经济负担加重以及可预防的并发症。

结论

抗 amphiphysin 相关脑膜脑炎是副肿瘤综合征的一种罕见表现。提高医疗专业人员对副肿瘤综合征多样表现的认识至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be88/10783277/b5c29e77fa61/ms9-86-512-g001.jpg

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