engleski

Cerebral metastases as the incipient sign of malignant disease versus existent treated extracerebral malignoma with neurological signs

We observed the urgent cases with neurological signs: mostly-motor weakness, conscious disorders or headache type with vomiting in one year in the department with twenty beds. The investigation included brain imaging methods, cerebrospinal fluid examination, ultrasonographic extra and intracranial examination and other needed radiographic searches. There were fourteen patients with verified metastatic process by braincomputed tomography. In the two cases processes were of solitary type and the neurosurgical treatment was continued. The primary malignoma was mostly bronchal malignoma, but there were also the cancer of the ventricle, breast, colon, kidney, prostata, and in two cases the origin was unknown, even after all diagnostic procedures. The other group consisted of patients where we expected dissemination of malignant disease to the brain, but we had not proved it. This group consisted of twenty patients with treated extracerebral cancer. The most frequent was the breast cancer, in nine cases, with various time after the operation. The following was the paralel leukoproliferative process in hematologic treatment, other sources were colon, kidney, thyroid gland, prostata and buccal mucosa cancer. We want to point out that there were not the specific tumour onset, especially the fact that primary illness may be a long time silent. Parallelism of the two various processes in the same time, such as a cerebrovascular disorder and the extracerebral cancer in the higher number of cases, is present.

metastasis; diagnostics

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