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现将1例泪腺癌发生脑膜-脑实质广泛转移报告于下。 顾××,男,34岁。5年前发现左上睑外方肿胀、复视,逐渐加重,于两年半后手术。病理诊断为混合瘤。术后3个月左面部痛觉减退,6个月左额疼痛,9个月左下颌牙龈疼痛及同侧口腔粘膜感觉减退、视力明显下降。当时检查发现左上睑米粒结节一个,左侧Ⅱ、Ⅲ、Ⅳ、Ⅴ_(1、2)和Ⅵ颅神经损害。乃行肿瘤刮除连同眼球摘除。病理诊断为泪腺癌。近3个月来头痛、左听力减退,20日来呛咳。检查:左侧嗅觉
Now a case of lacrimal gland carcinoma - brain parenchymal metastasis occurred in the next report. Gu × ×, male, 34 years old. 5 years ago found swelling of the left upper eyelid, diplopia, and gradually increased in two and a half years after surgery. Pathological diagnosis of mixed tumor. 3 months after the left facial pain decreased, 6 months left forehead pain, 9 months left mandibular gum pain and ipsilateral oral mucosal sensation decreased visual acuity decreased significantly. At that time, it was found that one of the left upper eyelid rice nodules, the left Ⅱ, Ⅲ, Ⅳ, Ⅴ_ (1,2) and Ⅵ cranial nerve damage. Tumor removal is accompanied by excision of the eye. Pathological diagnosis of lacrimal gland cancer. Headache in the past 3 months, left hearing loss, 20 days to cough. Check: The left side of the sense of smell