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绒癌恶性程度高,早期就可通过血液转移。因转移灶的症状掩盖了原发灶症状,易误诊误治,尤其脑转移病势凶险,乃是目前绒癌死亡主要原因之一。本文二例绒癌脑转移误诊为“脑出血”,均行开颅手术,后经强力化疗等治疗措施,使病人转危为安,使我们从中悟出一些教训经验。病例简况例1:女,35岁,农民。主因右枕部脑血肿清除术1月后,阴道大出血10天,于1987年8月3日转入妇产科。患者3年前,因孕5月在当地医院行人工流产及绝育术,术后3月自觉下腹坠痛,两年余月经周期由正常变为不规律(10—20/5—3O
Choriocarcinoma high degree of malignancy can be transferred early in the blood. Due to the symptoms of metastasis cover the symptoms of primary lesions, misdiagnosis and mistreatment, especially the risk of brain metastases, but is currently one of the main causes of death of choriocarcinoma. Two cases of choriocarcinoma brain metastasis misdiagnosed as “cerebral hemorrhage”, underwent craniotomy, after intensive chemotherapy and other treatment measures, so that patients turn critically ill, so that we learned from some lessons learned. Case Study 1: Female, 35 years old, farmer. The main cause of the right occipital brain hematoma removal in January, vaginal bleeding for 10 days, on August 3, 1987 into obstetrics and gynecology. Patients 3 years ago, due to pregnancy in May at the local hospital abortion and abortion, voluntary abdominal pain after 3 months of surgery, more than two years of menstrual cycle from normal to irregular (10-20 / 5-3O