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作者报告意大利比萨大学,1975年1月～1982年12月,因肺癌合并孤立性脑转移外科治疗的经验。在733例肺癌开胸术中挑选出20例,男17例,女8例,年龄33～63岁。其中5例是先有神经症状,临床诊断“脑瘤”,进行摘除术,术后经组织学检查系来自肺的转移癌;术后虽经X线胸片、断层摄影、痰细胞学检查,支气管镜检、肺灌注扫描及镓全身扫描均未能发现肺部原发灶;术后用胸片随访2～36(平均15.4)个月始发现肺癌,经两种扫描证实无全身和局部转移
The authors report on the experience of surgical treatment of lung cancer with solitary brain metastases from the University of Pisa, Italy, from January 1975 to December 1982. In 733 cases of lung cancer surgery, 20 cases were selected, including 17 males and 8 females, aged 33-63 years old. Among them, 5 cases were pre-existing neurological symptoms, clinical diagnosis of “brain tumor”, removal of the brain, postoperative histological examination of metastatic cancer from the lung; postoperative X-ray, tomography, sputum cytology, No primary lung lesions were found by bronchoscopy, lung perfusion scans, and whole body scans; lung cancer was detected on chest radiographs at 2 to 36 (average 15.4) months after surgery. There were no systemic and local metastases confirmed by two scans.