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脑转移瘤的ＣＴ诊断（附１２３例报告）山西省肿瘤医院（０３００１３）任芸香，李壮青，宋利平脑转移瘤是恶性肿瘤晚期表现之一，也是导致患者直接死亡的重要原因。患者年龄偏大，临床症状发展迅速，ＣＴ图象以多发的环状或结节状强化灶、灶周重度脑水肿为特点。ＣＴ增强扫描是检查脑转移瘤部位、数量的首选方法、对临床制定治疗方案有重要的价值。现将我院在１９８５年５月～１９８８年１２月期间，经临床、ＣＴ随诊观察证实的１２１例及手术切除病理证实的２例脑转移瘤报告如下。资料与方法１２３例中男８７例，女３６例。年龄分布为４０岁以下１４例，４１～５０岁２８例，５１～６０岁５９例，大于６０岁２２例。临床症状有头痛７１例，头晕４３例，癫痫２９例，恶心２５例，呕吐１４例，视力下降８例，精神异常３例，从脑症状出现到ＣＴ检查时间最长为６个月。原发灶中，支气管肺癌１０２例，乳腺癌８例，食管癌、贲门癌、胃癌、壶腹癌、阴茎癌、牙龈癌、鼻中膈癌、恶性葡萄胎、小脑髓母细胞瘤、胫骨骨肉瘤、跟骨滑膜肉瘤各１例，原发灶不清２例、原发灶手术切除２４例，脑转移均发生在术后一年之后，最长达八年之久。原发灶未切除的９９例中，除先期转移１５例外，其余８４例原发灶与脑转移瘤均
CT Diagnosis of Brain Metastases (Report of 123 Cases) Tumor Hospital of Shanxi Province (030013) Ren Ruei Xiang, Li Zhuangqing, Song Liping Brain metastases are one of the advanced manifestations of malignant tumors. They are also the important causes leading to the direct death of patients. Patients are older, rapid development of clinical symptoms, CT images with multiple annular or nodular lesions, focal focus of severe brain edema. CT enhanced scan is to check the location of brain metastases, the number of the preferred method for the clinical development of treatment programs have important value. Now in our hospital from May 1985 to December 1988 period, clinical, CT confirmed by follow-up observation of 121 cases and pathologically confirmed 2 cases of brain metastases are as follows. Materials and Methods 123 cases of male 87 cases, 36 females. The distribution of age was 14 cases under 40 years old, 28 cases 41 to 50 years old, 59 cases 51 to 60 years old, more than 60 years old in 22 cases. Clinical symptoms were headache in 71 cases, 43 cases of dizziness, epilepsy in 29 cases, nausea in 25 cases, vomiting in 14 cases, vision loss in 8 cases, 3 cases of mental abnormalities, from the appearance of brain symptoms to CT examination up to 6 months. In the primary tumor, 102 cases of bronchogenic carcinoma, 8 cases of breast carcinoma, esophageal cancer, cardia carcinoma, gastric carcinoma, ampullary carcinoma, penile carcinoma, gingival carcinoma, nasal septum cancer, malignant mole, cerebellar medulloblastoma, tibia One case of tumor and calcaneal synovial sarcoma, 2 cases of primary tumor was unclear, 24 cases of primary tumor were resected, brain metastasis occurred in one year after surgery, up to eight years. Of the 99 cases without primary resection, in addition to 15 cases of advanced metastasis, the other 84 cases of primary tumor and brain metastases