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題 名 | 乳癌患者之頭暈=Dizziness in Breast Cancer Patients |
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作 者 | 莊京憲; 楊怡和; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷 期 | 34:6 民88.11-12 |
頁 次 | 頁467-470 |
分類號 | 416.861 |
關鍵詞 | 乳癌; 頭暈; 高血脂; Breast cancer; Dizziness; Hyperlipidemia; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:根據本科眩暈門診之統計,有關非頭頸部癌之患者出現頭暈症狀,以乳癌患者最多。本文針對此一現象,試加分析與探討。方法:自1992年4月至1998年3月,計20名乳癌病人罹患頭暈,且接受一系列血液生化檢查及聽力平衡功能檢查。其中,若懷疑有中樞性病變者,則進一步接受電腦斷層或核磁共振掃描檢查。結果:有8出現高血脂現象。有3例發現顱內腫瘤,其中2例為轉移癌,1例為表皮樣囊腫。術後接受tamoxifen 治療的10名病人中,一半併有聽力障礙。結論:罹患頭暈的乳癌病人,需要特別考慮的原因有3: 1) 高血脂現象 ; 2) tamoxifen 荷爾蒙治療的副作用 ; 3) 顱用轉移。 |
英文摘要 | BACKGROUND: Among non-head and neck cancer patients, breast cancer patients experience dizziness most frequently. The purpose of this study is to elucidate the mechanism of this problem. METHOD: From April 1992 to March 1998, 20 patients with a breast cancer history who complained of dizziness were subjected to a battery of audiological and neurotological testing. If a central lesion was suspected, then brain CT or MRI was performed for confirmation. RESULTS: Eight patients (40%) had hyperlipidemia. Three patients had intracranial tumors, two with metastasis and one with epidermoid cyst at the cerebellopontine angle. Five of 10 patients who received tamoxifen had hearing loss. CONCLUSION: For breast cancer patients with dizziness, three possible causes include hyperlipidemia, the side effects of tamoxifen, and intracranial metastasis. |
本系統中英文摘要資訊取自各篇刊載內容。