1例小细胞肺癌囊性脑转移分析

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中图分类号：R734.2 文献标志码：A DOI：10.11958/20251282

Experence and clinical exploration by multidisciplinary diagnosis and treatment cystic brain metastasis in a case small cell lung cancer

YU Tao1， WANG Junping²， ZHANG Rongxin3，LIU Bing4， XU Dongbo， CHEN Yuan，ZHONG Diansheng1△ 1Oncolog，，3Rdiation，4eurosurgery5Deparentf ，6horacicedical ，ianjin3oooina △Corresponding Author E-mail： zhongdsh@hotmail.com

Abstract： Withthecontinuous development imaging techniques suchas magneticresonance imaging，thedetectionrate brainmetastases is increasing.Although theincidenceratecystic brain metastasis is farlowerthan that solid brain metastasis，ptientswithcysticbrainmetastasisare inurgentconditionandhaveovious spaceoccupyingefect，whichisnurgent clinical problem.Previous literature hasreported thatcystic brain metastasis ismore common inbreastcancer and lung adenocarcioma，especiallyinlungcancerpatients withpositivedivergene.Thisarticlereportsacasesallcelungcancer withcysticbrainmetastasis，whichstartedwitheurologicalsymptoms，ndwasclinicalluedunderamultidiscipinarydiaosis and treatment model.Through dynamic imaging evaluation and molecular residual lesion detection，the patientcan avoid overtreatment and achieved a relatively higher quality life on the basis prolonging survival.

Keywords：smallcellung carcinoma; cystic brain metastases; multi-disciplinary treatment;molecularresidualdisease

脑转移瘤分为实性和囊性两类，其中囊性约占16%[1] ，该类型多见于驱动基因阳性的肺腺癌和乳腺癌患者。（剩余6437字）