Leslie M D, Mangili G, Kemeny A A, Newlands E S
Charing Cross Hospital, London, UK.
Clin Oncol (R Coll Radiol). 1996;8(4):259-60. doi: 10.1016/s0936-6555(05)80668-5.
Metastatic gestational choriocarcinoma not uncommonly affects the central nervous system. If possible, the initial management of these metastases is surgical excision prior to chemotherapy, since these lesions are haemorrhagic. We report a patient with choriocarcinoma metastatic to the brain in whom surgery was potentially hazardous. Treatment was successfully given with stereotactic radiosurgery followed by chemotherapy.
转移性妊娠滋养细胞肿瘤常累及中枢神经系统。若有可能,这些转移灶的初始治疗应在化疗前进行手术切除,因为这些病灶容易出血。我们报告一例脑转移绒癌患者,手术可能具有危险性。采用立体定向放射外科治疗后再行化疗,治疗成功。