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我院自1989～1995年11月共收治肺癌脑转移癌21例,以不同方法进行治疗,现分析探讨其疗效。 1 临床资料 1.1 一般资料 本组男17例,女4例:年龄31～70岁,以50～60岁多见。 1.2 临床表现 头痛15例,偏瘫12例,呕吐7例,抽搐与颅神经受损各3例,昏迷2例,原发肿瘤先于脑转移癌诊断13例,约2～39个月,平均6.4个月;脑转移癌早于原发灶诊断6例,约6～45天,平均27天;同时诊断有2例。脑转移经CT扫描证实。脑转移部位以额、颞、顶叶为主。除脑转移外,合并其它脏器转移14例。
In our hospital from November 1989 to November 1995, a total of 21 cases of brain metastatic carcinoma of the lung were treated and treated by different methods. 1 Clinical data 1.1 General information The group of 17 males and 4 females: aged 31 to 70 years old, more common in 50 to 60 years old. 1.2 Clinical manifestations: 15 cases of headache, 12 cases of hemiparalysis, 7 cases of vomiting, 3 cases of convulsions and 3 cases of cranial nerve damage, and 2 cases of coma. The primary tumor was diagnosed before brain metastases in 13 cases, about 2 to 39 months, with an average of 6.4 Month; Brain metastases were diagnosed in 6 cases earlier than the primary tumor, about 6-45 days, with an average of 27 days; 2 cases were diagnosed at the same time. Brain metastases were confirmed by CT scans. The site of brain metastases is mainly the frontal, temporal, and parietal lobes. In addition to brain metastases, 14 cases were merged with other organs.