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本文报告经手术及病理证实的脑转移瘤２１５例，男１３３例．女８２例，发生于幕上１７４例，幕下４１例．以脑瘤型起病１５４例．以卒中型起病６１例，以头痛、呕吐为首发症状者最多见．病理分类：腺癌最多，鳞癌次之，未分化癌再次之．其它类型均少．能找到原发癌者１４３例．约占三分之二．其中又以肺癌是多，占已知原发癌中７４．６％．结合文献．对脑转移瘤的原发灶、病理类型、临床特点及手术适应证等进行讨论，指出对诊断为脑转移瘤且适合手术的病例．应及时尽力行肿瘤切除术，术后辅以放射、化学、生物等综合治疗．
This article reports 215 cases of brain metastases confirmed by surgery and pathology, including 133 males. Female 82 cases, occurred in the supratentorial 174 cases, 41 cases under the screen. 154 cases of brain tumor onset. The onset of stroke in 61 cases, headache, vomiting as the first symptom of the most common. Pathological classification: most adenocarcinoma, squamous cell second, undifferentiated cancer again. Other types are less. 143 cases of primary cancer can be found. About two-thirds. Among them lung cancer is more, accounting for 74.6% of known primary cancer. Combined with the literature. The main focus of brain metastases, pathological types, clinical features and surgical indications were discussed, and pointed out that the diagnosis of brain metastases and suitable for surgery cases. Tumor resection should be promptly tried out, postoperative supplemented by radiation, chemical, biological and other comprehensive treatment.