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在转移性脑肿瘤中,乳癌仅次于肺癌占第二位。东京驹込医院收治25例乳腺癌脑转移患者均系女性,年龄38～75岁。20例有病理记录:硬瘤4例,髓样癌14例,导管癌2例。从手术到出现颅内转移的时间平均3.8年(0月～10年),3年以上15例(90%)。诊断脑转移时,1例有明显自觉症状,19例有瘤灶限局症状,4例颅压增高,1例有意识障碍。单个转移灶13例,多发转移灶9例,脑膜转移3例。18例(72%)还有肺转移;5例同时有肝转移;10例(40%)有骨转移;只有3例为单纯脑转移。治疗分两组,脏器功能良好,估计可生存6
In metastatic brain tumors, breast cancer is second only to lung cancer. The 25 patients with breast cancer brain metastases admitted to Tokyo Gifu Hospital were females aged 38-75 years old. In 20 cases, there were pathological records: 4 cases of hard tumor, 14 cases of medullary carcinoma, and 2 cases of ductal carcinoma. The average time from surgery to intracranial metastasis was 3.8 years (October to 10 years), and more than 3 years to 15 cases (90%). In the diagnosis of brain metastases, 1 subject had obvious symptoms, 19 had limited focal lesions, 4 had increased intracranial pressure, and 1 had disturbance of consciousness. There were 13 cases of single metastases, 9 cases of multiple metastases and 3 cases of meningeal metastases. Eighteen patients (72%) had pulmonary metastases; 5 patients had liver metastases at the same time; 10 patients (40%) had bone metastases; only 3 patients had brain metastasis. The treatment was divided into two groups with good organ function and estimated survival 6