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一名79岁女性常规随访中伪装成转移瘤的胶质母细胞瘤

Glioblastoma Masquerading as Metastasis in a Routine Follow-Up of a 79-Year-Old Woman.

作者信息

Moshref Rana, Elashaal Abdurrahim

机构信息

Neurosurgery, London Health Sciences Centre, London, CAN.

Neurosurgery, Windsor Regional Hospital - Ouellette Campus, Windsor, CAN.

出版信息

Cureus. 2025 Mar 26;17(3):e81231. doi: 10.7759/cureus.81231. eCollection 2025 Mar.

Abstract

Glioblastoma is the most aggressive and common primary brain tumor. Diagnosis is based on imaging and is confirmed through a brain biopsy. Multimodal treatment, including gross total resection, radiotherapy, and chemotherapy, is typically required. We report a case of a 79-year-old woman, a former smoker, who presented with a headache and generalized weakness and was found to have multiple brain lesions. The patient was diagnosed with glioblastoma and underwent partial resection. Multiple glioblastomas are a rare presentation and can be multicentric or multifocal. Patients with this presentation typically exhibit symptoms of high intracranial pressure. Glioblastomas have a poor prognosis despite multidisciplinary management. Glioblastoma should be considered a differential diagnosis for patients with multiple brain lesions.

摘要

胶质母细胞瘤是最具侵袭性且常见的原发性脑肿瘤。诊断基于影像学检查,并通过脑活检得以确诊。通常需要多模式治疗,包括肿瘤全切、放疗和化疗。我们报告一例79岁女性病例,该患者既往吸烟,出现头痛和全身乏力症状,经检查发现有多处脑病变。患者被诊断为胶质母细胞瘤并接受了部分切除术。多发性胶质母细胞瘤是一种罕见的表现形式,可为多中心性或多灶性。有此表现的患者通常会出现颅内压升高的症状。尽管采取了多学科管理,但胶质母细胞瘤的预后较差。对于有多处脑病变的患者,应将胶质母细胞瘤列为鉴别诊断之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c16/12024517/f6d9af79bde1/cureus-0017-00000081231-i01.jpg

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