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相關文獻
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頁籤選單縮合
題 名 | Hemorrhagic Cerebellar Metastasis from Papillary Thyroid Carcinoma=甲狀腺乳突癌併小腦出血性轉移 |
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作 者 | 林靖國; 劉安祥; 洪純隆; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 15:4 1999.04[民88.04] |
頁 次 | 頁234-238 |
分類號 | 416.291 |
關鍵詞 | 甲狀腺乳突癌; 出血; 小腦轉移; Papillary thyroid carcinoma; Cerebellar metastasis; Tumor hemorrhage; |
語 文 | 英文(English) |
中文摘要 | 甲狀腺乳突癌造成遠端轉移的機率不高,腦部轉移的機率更少。在報告過的文獻 僅佔0.1∼1.3%。本醫學中心過去十年的統計(1988年1月至1998年4月)也只有兩例,約1.5% (2/136)。其中小腦轉移則更少見,而單獨性的小腦轉移則從未有文獻報告過。本篇第二個病例則是首次的文獻報告。此兩病例都是以罕見的小腦轉移並腫瘤出血來表現。第一個病例侵犯兩側小腦半球併有阻塞性水腦症,手術之後病人迅速恢復意識。第二個病例則只侵犯左側小腦半球且無水腦症,外科治療後,病人恢復神經功能缺損。故外科手術對於轉移性小腦出血是相當重要的,不僅可以立即減輕其所造成急速惡化的腦症狀,並且可以延長壽命。 |
英文摘要 | Papillary thyroid carcinoma has a low incidence of distant metastases. Brain metastasis is extremely rare with a frequency of 0.1∼1.3%. In the present series, the rate was 1.5%, only two cases had cerebral metastases in 136 patients with papillary thyroid carcinoma from January 1988 to April 1998. Cerebellar metastasis is even rarer, and solitary cerbellar metastasis has not been reported to the best of our knowledge. Two cases of papillary thyroid carcinoma with cerebellar metastases presenting as tumor hemorrhage are reported. In one patient, the lesion was in the hilateral cerebellar hemispheres with obstructive hydrocephalus. After operation, the patient had an uneventful course with recovery of her consciousness. In the other, the solitary lesion was in the left cerebellar hemisphere without obstructive hydrocephalus. After surgical treatment, the patient had a smooth course with resolution of his neurological deficit. It shows the importance of surgery in the management of a hemorrhagic cerebellar metastasis from papillary thyroid carcinoma, not only in reducing acute aggravating cerebral symptoms, but also in prolonging survival time. |
本系統中英文摘要資訊取自各篇刊載內容。