【摘要】 目的:探讨脑转移性肿瘤的有效诊治方法。方法:对312例脑转移性肿瘤的病理类型、原发灶和转移灶的关系、诊断及治疗进行回顾性分析。结果:肺癌、消化系统及泌尿系统癌最常发生脑内转移;腺癌、鳞癌最常见;脑转移性肿瘤CT和MRI增强扫描有强化效应,肿瘤周围有脑水肿;单发肿瘤手术加放疗效果明显。结论:癌症患者出现神经系统体征,应考虑脑内转移;脑内转移性肿瘤尽早手术和放射治疗。更多还原

【Abstract】 Purpose: To study an effective diagnotic and therapeutic approach of brain metastases. Methods: The clinical data of 312 patients with brain metastases were analyzed retrospectively. Results: Malignant tumors from the lung, digestive system and urinosexual system were the most common primary sources; adenocarcinoma, squamous cell carcinoma were the most common intracranial metastatic tumors. Brain metastases often show intensive enhancement on CT or MRI scanning and are surrounded by severe edema. Surgical resection and radiotherapy in patients with single brain metastatic tumor can offer good results. Conclusions: Patients with cancer having neurological signs should suspect the possibility of brain metastasis; Patients with brain metastasis should have surgical resection plus radiotherapy as early as possible.更多还原