孤独的脑损伤:一个意想不到的Urachal腺癌的呈现
Inês Q Dunões1, Maria Baió1, Francisco Trinca1
1Medical Oncology, Unidade Local de Saúde do Alentejo Central, Évora, PRT.
Cureus
|December 23, 2025
概括
口腔腺癌在晚期的过程中可以转移到大脑. 这一案例凸显了在晚期转移性疾病中考虑 urachal 腺癌 (UA) 的重要性,并使用多学科治疗方法.
科学领域:
- 在瘤学瘤学.
- 神经学 神经学
- 病理学 病理学 病理学
背景情况:
- 口腔腺癌 (UA) 是一种罕见的,具有不良预后的侵袭性恶性瘤,通常在晚期被诊断出来.
- 晚期复发和转移甚至可以发生在初始治疗和监测后.
研究的目的:
- 报告一个带有晚期大脑转移的 urachal 腺癌病例.
- 强调高级UA的诊断挑战和治疗策略.
主要方法:
- 一个63岁的男性有UA病史的病例报告.
- 诊断工作包括MRI,手术切除和活检.
- 阶段性调查确定了肺病变,通过穿甲状腺针活检确认为UA转移.
- 治疗包括全脑放射治疗和全身化疗.
主要成果:
- 由于小脑病变,该患者出现了神经症状,最初怀疑是缺血性中风.
- 活检证实了转移性腺癌,随后诊断出具有肺转移的晚期UA.
- 尽管疾病进展,但该患者实现了长期的疾病控制,并保持了良好的生活质量超过一年.
结论:
- 口腔腺癌可以出现晚期发作的大脑转移,这给诊断带来了挑战.
- 包括放射治疗和化疗在内的多学科治疗方法,可以导致延长疾病控制和保持晚期UA中的生活质量.
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