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脑膜癌病系癌肿向颅内转移的一种特殊类型,癌细胞弥散浸润软脑膜或脊膜,而颅内无占位性病灶。临床表现以脑、颅神经、脊神经损害为主等症状。多在病程中能发现原发灶,但较隐匿,部分病例也可先于原发灶表现于临床。本文5例经脑脊液细胞学检查证实为脑膜癌病。现分析报导如下: 临床资料 (一).一般资料:5例均为女性,年龄最小32岁,最大69岁,平均45.4岁,30～40岁3例乳腺癌1例,肺癌1例,甲状腺癌1例,粘液癌1例,原发灶不明1例。5例均经脑脊液细胞学检查发现癌细胞。均经头部CT扫描排除颅内占位性转移。 (二).临床表现:本组从发病至就诊时间最短7天,最长3个月,平均55天。首发症
Meningeal cancer is a special type of intracranial metastasis of cancer, cancer cells diffuse infiltration of the pia mater or spinal dura without intracranial space-occupying lesions. Clinical manifestations of brain, cranial nerves, spinal nerve damage and other symptoms. More in the course of the disease can be found in the primary tumor, but more hidden, some cases may also be expressed in the primary tumor in clinical. This article 5 cases of cerebrospinal fluid cytology confirmed as meningeal cancer. The following is the analysis and reports are as follows: Clinical data (A). General information: 5 cases were female, the youngest 32 years old, maximum 69 years old, average 45.4 years old, 30-40 years old three cases of breast cancer in 1 case, lung cancer in 1 case, thyroid cancer 1 case, mucinous carcinoma in 1 case, unknown primary case 1 case. 5 cases were detected by cerebrospinal fluid cytology of cancer cells. Head CT scan to exclude intracranial space-occupying metastases. (B). Clinical manifestations: This group from the onset to treatment for a minimum of 7 days, up to 3 months, an average of 55 days. First episode