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蕈样肉芽肿中枢神经系统受累:诊断、治疗及文献综述

Central nervous system involvement in mycosis fungoides: diagnosis, treatment and literature review.

作者信息

Bodensteiner D C, Skikne B

出版信息

Cancer. 1982 Sep 15;50(6):1181-4. doi: 10.1002/1097-0142(19820915)50:6<1181::aid-cncr2820500625>3.0.co;2-p.

DOI:10.1002/1097-0142(19820915)50:6<1181::aid-cncr2820500625>3.0.co;2-p
PMID:7104960
Abstract

A 58-year-old man with mycosis fungoides developed headache, back pain, and dorsal column signs. A diagnosis of central nervous system (CNS) involvement by mycosis fungoides was made on examination of his spinal fluid. In this patient, cranial and local radiotherapy and aggressive treatment with intrathecal methotrexate cleared the leukemic cells from his CNS, and maintenance therapy with intrathecal methotrexate has resulted in an 18-month remission.

摘要

一名58岁的蕈样肉芽肿患者出现头痛、背痛和脊髓后索体征。通过对其脑脊液检查,诊断为蕈样肉芽肿累及中枢神经系统(CNS)。在该患者中,头颅和局部放疗以及鞘内注射甲氨蝶呤的积极治疗清除了其CNS中的白血病细胞,鞘内注射甲氨蝶呤维持治疗已使其缓解达18个月。

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Thinking about CNS metastasis in cutaneous lymphoma: Analysis of existing data.
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Central nervous system involvement in mycosis fungoides: relevance of tcr gene testing in cerebrospinal fluid.蕈样肉芽肿中枢神经系统受累:脑脊液中TCR基因检测的相关性
Springerplus. 2014 Jan 17;3:29. doi: 10.1186/2193-1801-3-29. eCollection 2014.
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Atypical mycosis fungoides with cerebral involvement.伴有脑受累的非典型蕈样肉芽肿。
J Cancer Res Clin Oncol. 1985;110(2):123-6. doi: 10.1007/BF00402724.
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Peripheral neuropathy associated with mycosis fungoides.蕈样肉芽肿相关的周围神经病变
J Neurol Neurosurg Psychiatry. 1989 Apr;52(4):536-8. doi: 10.1136/jnnp.52.4.536.