新疆医科大学学报
新疆醫科大學學報
신강의과대학학보
JOURNAL OF XINJIANG MEDICAL UNIVERSITY
2013年
11期
1625-1627
,共3页
艾克拜尔·尤努斯%梁求真%田征%王翀%陈江涛%宋兴华
艾剋拜爾·尤努斯%樑求真%田徵%王翀%陳江濤%宋興華
애극배이·우노사%량구진%전정%왕충%진강도%송흥화
尤文肉瘤%脑转移%肺转移%化疗
尤文肉瘤%腦轉移%肺轉移%化療
우문육류%뇌전이%폐전이%화료
Ewing sarcoma%brain metastasis%pulmonary metastasis%chemotherapy
目的:探讨单纯化疗对尤文肉瘤术后脑、肺多发转移的治疗效果。方法回顾分析2013年1月收治的1例尤文肉瘤术后患者的临床资料。男性,25岁。2011年4月于我院确诊为左股骨上段尤文肉瘤,按VAC+IE方案化疗1个疗程后,行瘤段切除,肿瘤假体置换。术后病人未按医嘱要求进行化疗,2a后出现脑、肺转移。再次按照VAC+IE方案化疗。结果再次化疗1个疗程后,病人头痛症状明显缓解。肺部X线片示治疗后肺野内占位消失。头颅CT平扫示化疗后脑实质转移灶较化疗前显著缩小,脑室系统对称。结论 VAC+ IE化疗方案对尤文肉瘤脑、肺多发转移的治疗有效。
目的:探討單純化療對尤文肉瘤術後腦、肺多髮轉移的治療效果。方法迴顧分析2013年1月收治的1例尤文肉瘤術後患者的臨床資料。男性,25歲。2011年4月于我院確診為左股骨上段尤文肉瘤,按VAC+IE方案化療1箇療程後,行瘤段切除,腫瘤假體置換。術後病人未按醫囑要求進行化療,2a後齣現腦、肺轉移。再次按照VAC+IE方案化療。結果再次化療1箇療程後,病人頭痛癥狀明顯緩解。肺部X線片示治療後肺野內佔位消失。頭顱CT平掃示化療後腦實質轉移竈較化療前顯著縮小,腦室繫統對稱。結論 VAC+ IE化療方案對尤文肉瘤腦、肺多髮轉移的治療有效。
목적:탐토단순화료대우문육류술후뇌、폐다발전이적치료효과。방법회고분석2013년1월수치적1례우문육류술후환자적림상자료。남성,25세。2011년4월우아원학진위좌고골상단우문육류,안VAC+IE방안화료1개료정후,행류단절제,종류가체치환。술후병인미안의촉요구진행화료,2a후출현뇌、폐전이。재차안조VAC+IE방안화료。결과재차화료1개료정후,병인두통증상명현완해。폐부X선편시치료후폐야내점위소실。두로CT평소시화료후뇌실질전이조교화료전현저축소,뇌실계통대칭。결론 VAC+ IE화료방안대우문육류뇌、폐다발전이적치료유효。
Objective The treatment for multiple metastases of Ewing sarcoma is rarely reported .The pa-per is to study the curative effect of chemotherapy for multiple metastases of lung and brain after surgery in a case of Ewing sarcoma .Method A 25-year-old male was admitted to hospital in January 2013 ,and the clinical data were analysed .In April 2011 ,he was diagnosed with Ewing sarcoma of the left proximal fe-mur .The treatment consisted of enbolc resetion with femoral prosthesis replacement ,completed by chem-otherapy (VAC+IE regimen) before surgery .However ,chemotherapy was not performed as required af-ter surgery ,multiple metastases of lung and brain occurred two years later .Chemotherapy (VAC+IE reg-imen) was performed again .Results The symptom of headache was observably relieved after chemothera-py .Chest X-ray before and after the chemotherapy showed the space-occupying lesions disappeared .Head CT scan before and after the chemotherapy showed shrinkage of metastases with symmetrical ventricle . Conclusion VAC+ IE as chemotherapy regimen of Ewing sarcoma is an effective treatment for multiple metastases of lung and brain .