论文部分内容阅读
颅内转移瘤是某些肿瘤的常见转移部位。由于其症状痛苦 后果严重,使癌症病人的生存质量大大下降。本组经以手术为主且配以其他治疗的40例颅内转移瘤患者,收到了良好的治疗效果。其中行转移灶及原发灶完全切除者14例;转移灶完全切除而原发灶放疗或化疗者11例;多发灶只清除1个者11例,囊性病变行局麻后囊液吸出者4例。原发病灶中肺癌20例,占已知病灶80％,病理类型以腺癌和低(未)分化癌为多见,分别为41.2％和36.4％。颅内转移瘤诊断中CT扫描为最行之有效的手段;根据不同的病情如肿瘤的大小、部位和患者的情况选择不同的术式,并根据病理类型行放疗或化疗等其他治疗措施,从而提高患者的生存时间及生存质量。
Intracranial metastases are common sites of metastases in certain tumors. Due to its severe symptoms of pain, the quality of life of cancer patients greatly reduced. The group of 40 patients with intracranial metastases mainly surgery and accompanied by other treatment, received a good therapeutic effect. Among them, 14 cases were completely resected with primary metastasis and metastasis; 11 cases were completely resected with radiotherapy or primary tumor radiotherapy or chemotherapy; 11 cases were removed with multiple lesions only, 4 cases. Twenty primary lung cancer cases were found, accounting for 80% of known lesions. Pathological types were more common in adenocarcinoma and low (undifferentiated) carcinoma, which were 41.2% and 36.4% respectively. CT scan in the diagnosis of intracranial metastases is the most effective means of diagnosis; according to different conditions such as tumor size, location and patient selection of different surgical procedures, and according to the pathological type of radiotherapy or chemotherapy and other treatment measures, thus Improve patient’s survival time and quality of life.