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胃癌术后转移至肝脏、肺、骨骼、腹膜等较多,脑转移则较少见。胃癌脑转移机制尚不明确,治疗方式多采取转移灶切除及放化疗,但治疗后患者生存期及生活质量并不令人满意,预后差。作者对1例近端胃癌术后出现脑转移的病例资料进行分析,以示胃癌远处转移的多样性,提高对胃癌脑转移的警惕性。
Postoperative metastatic gastric cancer to the liver, lung, bone, peritoneum and more, brain metastases are rare. The mechanism of brain metastasis of gastric cancer is not clear, the treatment to take metastases resection and radiotherapy and chemotherapy, but the survival and quality of life of patients after treatment is not satisfactory, the prognosis is poor. The author of a case of proximal gastric cancer patients with brain metastases after the case data analysis to show the diversity of distant metastasis of gastric cancer to improve the vigilance of gastric cancer metastasis.