Morild I, Mørk S, Nyland H
J Neurol. 1982;227(3):151-5. doi: 10.1007/BF00313569.
This report describes a medulloblastoma with extracranial metastases in a 24-year-old man. Postoperatively, 60Co irradiation was given and clinical recovery was good. Cervical lymph node metastases developed 2.5 years later. The patient received cytostatic treatment and a second course of radiation therapy with 60Co and lived for 6 years after the onset of symptoms, finally dying with signs of bronchopneumonia. The possible routes of spread are discussed.
本报告描述了一名24岁男性患有髓母细胞瘤并伴有颅外转移。术后给予60钴放疗,临床恢复良好。2.5年后出现颈部淋巴结转移。患者接受了细胞毒性治疗以及第二轮60钴放射治疗,症状出现后存活了6年,最终死于支气管肺炎迹象。文中讨论了可能的扩散途径。