Suppr超能文献

一例罕见的乙状结肠癌孤立性脑转移伴即将发生脑疝的病例报告及文献复习

An unusual case of isolated brain metastasis with impending brain herniation from sigmoid colon cancer: case report and review of literature.

作者信息

Toffaha Ali, Zafar Hafiz Bilal, Abdul-Hafez Hamza A, Al-Dhaheri Mahmood, Abunada Mohamed, Parvaiz Amjad

机构信息

Department of Surgery, Colorectal Surgery Unit, Hamad General Hospital, Alrayyan Road, PO Box 3050, Doha, Qatar.

College of Medicine, QU Health, Qatar University, Alrayyan Road, PO Box 3050, Doha, Qatar.

出版信息

J Surg Case Rep. 2025 Jun 9;2025(6):rjaf394. doi: 10.1093/jscr/rjaf394. eCollection 2025 Jun.

Abstract

Colorectal carcinoma with a finding of isolated brain metastasis is rare. Furthermore, neurologic symptoms secondary to oligometastasis to the brain are very rare initial presentations for colorectal cancer. Hence, it is uncommon to do brain imaging in the initial staging of colon carcinoma. We present an unusual case of a patient who initially presented with a headache. Laboratory tests revealed mild anemia. Brain imaging revealed a mass in the parietal lobe; hence, neurosurgery was performed with resection of the mass. Histopathology showed it's colonic in origin. Colonoscopy revealed adenocarcinoma in the sigmoid colon and a staging computed tomography scan showed no distant metastases. This case report highlights the unusual presentation of an isolated brain metastasis secondary to primary colon carcinoma. Any patient with a primary colon tumor who complains of neurologic symptoms should be considered for brain evaluation to minimize the risk of overlooking such important finding.

摘要

发现孤立性脑转移的结直肠癌很罕见。此外,脑寡转移继发的神经症状作为结直肠癌的初始表现非常罕见。因此,在结肠癌的初始分期中进行脑部影像学检查并不常见。我们报告一例不寻常的病例,患者最初表现为头痛。实验室检查显示轻度贫血。脑部影像学检查发现顶叶有一个肿块;因此,进行了神经外科手术切除该肿块。组织病理学显示其起源于结肠。结肠镜检查发现乙状结肠腺癌,分期计算机断层扫描显示无远处转移。本病例报告强调了原发性结肠癌继发孤立性脑转移的不寻常表现。任何患有原发性结肠肿瘤且主诉有神经症状的患者都应考虑进行脑部评估,以尽量降低忽视这一重要发现的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05e3/12146260/835d1e72fe7e/rjaf394f1.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验