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患者女性,38岁。因反复发作性肢体抽搐伴意识障碍4年,头痛、头昏、视物模糊2个月,发现左乳房肿块18年于1986年11月28日入院。查体:神经系统除双侧视乳头水肿,行走欠稳外无其它阳性体征。左侧乳房外上象限有蚕豆大小肿块,质硬、活动度好。脑CT示右额叶大片低密度区,同侧脑室受压,中线结构向对侧移位。诊断为右额叶胶质细胞瘤。行右额部开颅,见右额叶肿瘤部分囊性变,将肿瘤肉眼下全切。术后恢复好。病理报告为星形细胞瘤Ⅱ～Ⅲ级。建议术后做放射治疗,但患者因故未做。术后发现左乳肿块迅速增大,局部无明显不适。一年半后再次出现头痛、恶心、呕吐,并有二次癫痫大发作,再次入院。查体:右额部骨瓣隆起,神经系统无其它阳性体征。左乳房外上象限可们及一拳头大肿物,表面光滑,质硬,无压痛,肿物界限清楚,活动度好。左侧腋窝及锁骨上淋巴结不大。脑CT示OM线上4～9cm右额叶有-5.6
Patient female, 38 years old. Due to recurrent episodes of limb convulsions with disturbance of consciousness 4 years, headache, dizziness, blurred vision 2 months and found that the left breast lump 18 years on November 28, 1986 admitted. Physical examination: Nervous system in addition to bilateral papilledema, walking unsteady no other positive signs. The left upper quadrant of the breast has a broad bean mass, mass, and good mobility. Brain CT showed large areas of low right frontal lobe, ipsilateral ventricles, midline structure to the contralateral shift. Diagnosis of right frontal glioblastoma. The right forehead craniotomy, see the right frontal lobe tumor cystic degeneration, the tumor under the eye full cut. Good recovery after surgery. Pathology report astrocytoma Ⅱ ~ Ⅲ grade. The proposed postoperative radiotherapy, but the patient did not do for some reason. Postoperative found that rapid enlargement of left lumps, no obvious local discomfort. After a year and a half again headache, nausea, vomiting, and a second epileptic seizures, re-admission. Physical examination: the right forehead bone flap uplift, the nervous system no other positive signs. The left upper quadrant outside the breast and a large fist, smooth, hard, no tenderness, clear tumor boundaries, activity is good. Left axillary and supraclavicular lymph nodes is not large. Brain CT showed OM line 4 ~ 9cm right frontal lobe -5.6