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A case of metastatic brain tumor causing multifocal cerebral embolism

机译:一例转移性脑肿瘤引起多灶性脑栓塞

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摘要

The patient was a 72-year-old woman who had previously undergone treatment for femoral chondrosarcoma (histologically rated as myxofibrosarcoma). She suddenly developed left homonymous hemianopsia and was diagnosed with cerebral embolism. Because she had atrial fibrillation, we treated her for cardiogenic cerebral embolism. About 3 months later, however, she developed left hemiplegia, and head magnetic resonance imaging revealed multiple tumorous lesions affecting the previously detected infracted area and several new areas. We assumed that a tumor embolus had caused cerebral embolism, which resulted in growth of the tumor from the embolus and formation of a metastatic brain tumor. The metastatic foci formed from the tumor embolus were visualized by diagnostic imaging, and histological examination of the resected tumor confirmed that the brain tumor had occluded the brain vessel (tumorigenic cerebral embolism). No such case has been reported to date, and this case seems to be important.
机译:该患者是一名72岁的女性,她之前曾接受过股骨软骨肉瘤(组织学上称为粘膜纤维肉瘤)的治疗。她突然发展出左同名偏盲症,并被诊断出患有脑栓塞。因为她患有房颤,所以我们对她进行了心源性脑栓塞治疗。然而,大约3个月后,她发展为左偏瘫,头部磁共振成像发现多个肿瘤病变,影响了先前检测到的梗塞区域和几个新区域。我们假设肿瘤栓塞已引起脑栓塞,导致栓塞引起肿瘤的生长和转移性脑瘤的形成。通过诊断成像使从肿瘤栓塞形成的转移灶可见,并且对切除的肿瘤的组织学检查证实脑瘤已经阻塞了脑血管(致瘤性脑栓塞)。迄今为止,尚无此类案例的报道,该案例似乎很重要。

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