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脑转移瘤是恶性肿瘤的晚期表现,放疗目前仍被用作多数脑转移瘤患者的标准治疗。我科自2003年5月～2005年1月共收治脑转移瘤患者58例进行放疗,现将疗效分析如下。资料与方法一、一般资料:男性31例,女性27例;年龄27～78岁,平均年龄56岁。原发灶不明4例,原发灶明确54例,均有病理证实:其中肺癌47例(小细胞肺癌8例,非小细胞肺癌39例,乳腺癌2例,结肠癌1例,宫颈癌1例,肾癌1例,黑色系瘤1例,后腹膜平滑肌肉瘤1例。所有转移灶均经 CT 或和/MRI证实。多发性脑转移53例,单发性脑转移5例;转移灶位于幕上32例、幕下4例,幕上幕下均有22例,5例病人为放疗后复发再次放疗。
Brain metastases are advanced manifestations of malignancies and are still being used as the standard treatment for most patients with brain metastases. Our department from May 2003 to January 2005 were treated 58 cases of brain metastases in patients with radiotherapy, the curative effect is as follows. Materials and Methods First, the general information: 31 males and 27 females; aged 27 to 78 years, mean age 56 years. Primary tumor was unknown in 4 cases, primary clear in 54 cases, pathologically confirmed: lung cancer in 47 cases (small cell lung cancer in 8 cases, non-small cell lung cancer in 39 cases, breast cancer in 2 cases, colon cancer in 1 case, cervical cancer 1 1 case of renal cell carcinoma, 1 case of black tumor and 1 case of retroperitoneal leiomyosarcoma.All the metastatic lesions were confirmed by CT and / or MRI.Multiple brain metastases in 53 cases and solitary brain metastases in 5 cases.The metastases were located in 32 cases on the screen, 4 cases on the screen, 22 cases under the screen, and 5 patients relapsed after radiotherapy.