原名「台灣學術線上」
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1
題名:Suprasellar Metastasis of Pulmonary Adenocarcinoma    
肺腺癌轉移至蝶鞍上部
著者:Jen-Ho Tseng(曾仁河) ;Sheng-Huang Hsiao(蕭勝煌) ;Jung-Mao Chou(周榮茂) ;Ann-Jeng Liu(劉安正)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:蝶鞍上部 ; 轉移 ; 肺腺癌 ; suprasellar ; metastasis ; pulmonary adenocarcinoma
刊名:Journal of the Chinese Oncology Society
頁碼:454-460
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

一位健康中年男子在一陣突發劇烈頭痛後失去意識,送來急診後立刻接受腦部電腦斷層掃描,結果顯示蝶鞍上部有一橢圓形界線清楚的出血性腫塊,同時有腦室內出血,電腦斷層腦血管攝影排除腦內頸動脈巨大動脈瘤,因此,在腦下垂體大腺瘤併發出血與腦室內出血的情況下,患者接受緊急開顱手術清除腫瘤,並引流腦室內血腫,病理報告顯示此腫瘤為轉移性肺腺癌,肺部原發病灶隨後也證實為腺癌,患者意識逐漸復原之後,接受了腦部放射治療與全身性化學治療。本病例特殊性在於蝶鞍上部的肺腺癌轉移病灶,以近似腦內頸動脈巨大動脈瘤出血,與腦下垂體大腺瘤併發出血(腦下垂體中風)來表現。
An originally fit and well man suffered from acute headache and loss of consciousness. A hyperdense suprasellar tumor and intraventricular hemorrhage (IVH) were detected by head CT. Cerebrovascular imaging studies excluded the presence of supraclinoid giant aneurysm. An emergency excision of the suprasellar tumor was done for intratumoral hemorrhage, signs of pituitary apoplexy, and IVH. Surgical pathology revealed a metastatic adenocarcinoma from the lung, and pulmonary adenocarcinoma was confirmed following whole-body cancer work-up. This is the first case report of pure suprasellar metastasis as the initial manifestation of an unknown primary tumor.


    

本卷期目次
Journal of the Chinese Oncology Society
Revisiting Squamous Cell Carcinoma of the Lungs-A Disease Given Less Attention/ Yuh-Min ChenJen-Fu ShihChun-Ming TsaiYu-Chin LeeReury-Perng PerngJacqueline Whang-Peng
Pemetrexed Followed by Docetaxel or a Reverse Sequence in Non-Small-Cell Lung Cancer/ Wen-Chien FanYuh-Min ChenJen-Fu ShihYu-Chin LeeReury-Perng Perng
Ganoderma Triterpenoid Ganoderic Acid T Inhibits Growth and Metastasis of A549 Lung Adenocarcinoma In Vitro and In Vivo/ Hsiao-Hsuan LaiCheng-Po HuangDeng-Hai ChenKuan-Dee ChenShwu-Bin Lin
胃部瀰漫性大B型淋巴瘤於R-CHOP的治療年代:單一醫學中心之經驗/ 陳苓萍蔡碧桐余明生林世哲
護理人員對癌症臨床試驗的知識與態度及其相關因素之探討/ 張杏焄封威蓮鍾佩珊朱正玉彭汪嘉康賴裕和
Recovery from Gefitinib-induced Pneumonitis and Hepatitis after Changing to Erlotinib Treatment/ Chun-Chang LiuYuh-Min Chen
Intramedullary Sarcoidosis/ Ying-Chih ChenSheng-Jean HuangAbel Po-Hao HuangYu-Ting TsengLong-Wei LinYong-Kwang TuLu-Ting Kuo
Suprasellar Metastasis of Pulmonary Adenocarcinoma/ Jen-Ho TsengSheng-Huang HsiaoJung-Mao ChouAnn-Jeng Liu
Aggressive Gastrointestinal Stromal Tumor Associated with Pituitary Acromegaly/ Hung-Yu ChienLon-Shyong LeeSheng-Huang Hsiao
Malignant Thyroid Teratoma with Aggressive Neck and Intrathoracic Disseminations/ Wei-Chun LoShi-Ping LuhDong-Long WuMao-Te Chuang
 
   
 
   

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