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从症状到转移性脑损伤的诊断:一个复杂的情景从资源有限的设置

William Nkenguye^1,2,3, Jay Lodhia^4,5

¹Department of Epidemiology and Applied Biostatistics KCMC University Moshi Tanzania.

Clinical case reports

|October 13, 2025

概括

肺癌引起的大脑转移是一个重要的全球健康问题. 低收入和中等收入国家 (LMICs) 的有限资源导致脑瘤患者的晚诊和不良结果.

科学领域:

在瘤学瘤学.
神经学神经学
全球健康全球健康

背景情况:

大脑转移是肺癌的常见和严重并发症,对全球的发病率和死亡率作出了重大贡献.
虽然高收入国家由于先进的成像和向疗法而获得了更好的结果,但低收入和中等收入国家 (LMICs) 的患者面临差异,通常在有限的资源下迟到出现.

研究的目的:

介绍一个案例研究,说明在LMIC环境中管理转移性脑瘤的挑战.
突出由于资源限制而遇到的诊断和治疗障碍.

主要方法:

一个56岁妇女的病例报告,症状包括急性混乱,头痛和半.
诊断程序包括神经成像和胸部成像.
管理包括用皮质类固醇,抗药和重症监护的支持性护理.

主要成果:

神经成像和胸部成像证实了转移性肺癌,脑损伤和肺结节.
患者经历了复发性发作,全身感染和呼吸衰竭,尽管进行了密集的支持性护理.
患者在入院两周后死亡; 组织病理学证实没有得到.

结论:

在LMICs中治疗转移性脑瘤存在重大诊断和治疗挑战.
对于先进的成像,手术,放射性手术和向治疗的有限访问有助于晚期诊断和不良结果.
加强瘤服务,改善治疗机会,投资医疗保健基础设施对于解决这些差异至关重要.

关键词:

坦桑尼亚坦桑尼亚坦桑尼亚坦桑尼亚大脑转移是大脑转移.肺癌是一种肺癌.神经瘤学 - 神经瘤学在瘤学上存在差异.

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