食管腺癌患者的脑膜癌病
Meningeal carcinomatosis in patient with esophagus adenocarcinoma.
作者信息
Girola S S, Celano M, Arrigoni E, Di Giulio G, Di Maggio E M, Mazzone A
机构信息
Dipartimento di Medicina Interna, IRCCS Policlinico San Matteo, Università degli Studi, Pavia.
出版信息
Minerva Med. 1997 Mar;88(3):105-7.
Meningeal carcinomatosis (MC) is an uncommon from of metastasis of solid tumors. We reported a clinical case of a woman with esophagus adenocarcinoma that a few months after surgical operation, presented episodes of vomiting, nausea, hypertension, mental change, unconsiousness; A contrast-enhanced CT of the brain revealed an "area of enhancement in the caudate nucleus" and cerebrospinal fluid cytologic studies evidenced the presence of carcinomatous cells. The clinical state of the patient deteriorated and she died a few days later. Autopsy confirmed meningeal carcinomatosis without parenchymal involvement.
脑膜癌病（MC）是实体瘤转移的一种罕见形式。我们报告了一例食管腺癌女性患者的临床病例，该患者在手术后数月出现呕吐、恶心、高血压、精神改变、意识丧失；脑部增强CT显示“尾状核强化区域”，脑脊液细胞学检查证实存在癌细胞。患者的临床状况恶化，几天后死亡。尸检证实为脑膜癌病，无实质受累。
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