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报道126例脑转移瘤的诊疗体会,其中以40~60岁最多见,占69.1%,临床上多亚急性起病,出现颅内压增高及局灶症状。脑CT及胸部X线检查对诊断有重要价值。脑转移瘤的Ki67标记指数(Ki-67LI)及核仁组成区嗜银蛋白(AgNOR)计数均最高,其数值远远超过任何颅内原发恶性肿瘤,是对病理学诊断重要的补充及参考。随访结果表明对脑转移后采用手术治疗加放疗效果最优,并提出多发转移灶的手术处理原则。
Reported 126 cases of brain metastases diagnosis and treatment experience, of which 40 to 60 years of age the most common, accounting for 69.1%, clinically subacute onset, increased intracranial pressure and focal symptoms. Brain CT and chest X-ray examination of the diagnosis of great value. The Ki67 labeling index (Ki-67LI) and the nucleolar organizer region AgNOR count of brain metastases are the highest, which is far more than any of the primary intracranial malignant tumors, which is an important complement and reference to the pathological diagnosis . The follow-up results showed that the best effect of surgery and radiotherapy after brain metastasis was achieved and the principle of surgical treatment of multiple metastases was proposed.