子宫体透明细胞腺癌扩散至小脑
https://doi.org/10.47093/2218-7332.2020.11.4.43-49
摘要
摘要：来自透明细胞子宫癌的脑扩散是极为罕见的，并被抱以不好预测结果。
案例报告。讲述了一名55岁子宫腺癌患者癌扩散至小脑的病例。子宫癌T2N1M1，4期的诊断于2016年确定。进行了子宫摘除，淋巴结清理，放疗和化疗。在2018年，患者的神经出现症状。 核磁共振成像扫描发现颅后窝有肿瘤。在其他器官和主要集中的区域没有运动。切除肿瘤。组织学：透明细胞子宫腺癌扩散至小脑。进行了放疗和化疗。患者神经系统的症状恶化了。未来，将记录对治疗的完全反应。
结论。我们的病例说明了一种罕见透明细胞子宫腺癌扩散。子宫腺癌的脑扩散没有特殊的放射学特征。对此类患者的治疗应包括联合治疗，这可以增加预期寿命。对照检查时我们患者的预期寿命是29个月。
关于作者
N. V. Sevyan
Sechenov First Moscow State Medical University (Sechenov University); Blokhin National Medical Research Center of Oncology
俄罗斯联邦
俄罗斯联邦
Nadezhda V. Sevyan, Cand. of Sci. (Medicine), Аssociate Professor, Department of Oncology,
8/2, Trubetskaya str., Moscow, 119991
23, Kashirskoe highway, Moscow, 115478
Yu. A. Tsybulskaya
Sechenov First Moscow State Medical University (Sechenov University)
俄罗斯联邦
俄罗斯联邦
Yulia A. Tsybulskaya, Cand. of Sci. (Medicine), Assistant Professor, Department of Radiation Diagnostics,
8/2, Trubetskaya str., Moscow, 119991
V. B. Karakhan
Blokhin National Medical Research Center of Oncology
俄罗斯联邦
俄罗斯联邦
Vladislav B. Karakhan, Dr. of Sci. (Medicine), Professor, Leading Researcher, Department of Neurosurgery,
23, Kashirskoe highway, Moscow, 115478
A. Kh. Bekyashev
Blokhin National Medical Research Center of Oncology
俄罗斯联邦
俄罗斯联邦
Ali Kh. Bekyashev, Dr. of Sci. (Medicine), Professor, a Head of Neurosurgery Department,
23, Kashirskoe highway, Moscow, 115478
E. V. Prozorenko
Sechenov First Moscow State Medical University (Sechenov University); Blokhin National Medical Research Center of Oncology
俄罗斯联邦
俄罗斯联邦
Evgeniy V. Prozorenko, Cand. of Sci. (Medicine), Assistant Professor, Department of Oncology,
8/2, Trubetskaya str., Moscow, 119991
23, Kashirskoe highway, Moscow, 115478
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