Glioblastoma With Metastasis to the Spleen(Case Report)
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概要
- 論文の詳細を見る
A 47-year-old woman presented with headache and left homonymous hemianopsia. T_1-weighted magnetic resonance (MR) imaging with contrast medium showed a mass lesion with ring-like enhancement in the right temporo-occipital lobe. The patient underwent surgery, focal irradiation, and chemotherapy. The histological diagnosis was glioblastoma. Four months after the operation, the patient again developed headache and left homonymous hemianopsia in addition to vomiting and mild left hemiparesis. MR imaging showed recurrence of the tumor and hydrocephalus. The patient underwent a second craniotomy and placement of a ventriculoperitoneal shunt. Intraoperative findings revealed that the transverse-sigmoid sinus was occluded by tumor invasion. The patient died of intraventricular dissemination 2 months after the second operation. Autopsy revealed metastases in the spleen and lungs. Glioblastoma with metastases to the spleen is very rare. The prognosis for patients is poor. Excessive therapy should not be used for patients with extracranial metastases from glioblastoma.
- 日本脳神経外科学会の論文
- 2003-09-15
著者
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TAMIYA Takashi
Department of Neurological Surgery, Kagawa University Faculty of Medicine
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DATE Isao
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Ph
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SATO Yumiko
Department of Pathology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutica
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Date Isao
Department Of Neurological Surgery Okayama University Graduate School Of Medicine And Dentistry
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Date Isao
Department Of Neurological Surgery Okayama Graduate School Of Medicine And Dentistry
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Sato Yumiko
Department Of Clinical Laboratory Medicine Graduate School Of Medicine Tokyo University
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Yasuhara Takao
Department Of Neurological Surgery Okayama University Graduate School Of Medicine
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Yasuhara Takao
Department Of Neurological Surgery Okayama University Graduate School Of Medicine And Dentistry
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Tamiya Takashi
Department Of Neurological Surgery Okayama University Graduate School Of Medicine And Dentistry
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OHMOTO Takashi
Department of Neurological Surgery,Okayama University Medical School
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MEGURO Toshinari
Department of Neurological Surgery, Hiroshima City Hospital
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Ohmoto Takashi
Department Of Neurological Surgery Okayama University Medical School
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Meguro Toshinari
Department Of Neurological Surgery Hiroshima City Hospital
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Meguro Toshinari
Department Of Neurosurgery Sumitomo-bessi Hospital
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Nakashima Hiroyuki
Department Of Neurological Surgery Okayama University Graduate School Of Medicine And Dentistry
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ICHIKAWA Tomotsugu
Department of Neurological Surgery, Okayama University Graduate School of Medicine and Dentistry
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Tamiya Takashi
Department Of Neurological Surgery Faculty Of Medicine Kagawa University
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Yasuhara Takao
Department Of Neurological Surgery Okayama University Graduate School Of Medicine Dentistry And Phar
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Sato Yumiko
Department Of Second Department Of Pathology Okayama University Graduate School Of Medicine And Dent
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Nakashima Hiroyuki
Department Of Materials Science And Engineering Metal Section Nagoya Institute Of Technology
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Date Isao
Department Of Neurological Surgery Okayama University Graduate School Of Medicine Dentistry And Phar
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Ohmoto Takashi
Department Of Neurological Surgery Kagawa Medical School
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Ichikawa Tomotsugu
Department Of Neurological Surgery Okayama University Graduate School Of Medicine Dentistry And Pharmaceutical Sciences
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Ichikawa Tomotsugu
Department Of Neurological Surgery Okayama Graduate School Of Medicine And Dentistry
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OHMOTO Takashi
Department of Environmental Technology, Osaka Municipal Technical Research Institute
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Sato Yumiko
Department of Chemistry, The University of Tsukuba
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