肺癌脑转移与出血性脑静脉血栓:经验与教训

IF 2.6 4区 医学 Q2 HEMATOLOGY Thrombosis Journal Pub Date : 2024-07-11 DOI:10.1186/s12959-024-00629-0
Qilong Tian, Yingxi Wu, Gang Li, Xiaofeng Huang, Qing Cai
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引用次数: 0

摘要

肺癌脑转移合并出血性脑静脉窦血栓形成(CVST)的发生率非常罕见,对该病例的认识和治疗经验不足。我们报道了一例肺癌脑转移伴静脉窦血栓形成的病例,并介绍了诊断和治疗方案,供同行借鉴和学习。1.肺癌脑转移合并出血性CVST的发生率非常罕见,对该病例的认识和治疗经验不足。2.2.转移瘤合并CVST患者的临床表现无特异性,应详细询问病史演变,仔细体格检查和影像学复查。3.有危险因素的患者应考虑 CVST。出血性CVST发病率相对较低,由于症状和影像学表现不典型,容易漏诊和误诊。4.应根据病史演变确定责任病变,优先治疗责任病变,及时缓解症状,争取最佳治疗时间。
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Lung cancer brain metastasis and hemorrhagic cerebral venous thrombosis: experiences and lessons
The incidence of lung cancer brain metastasis combined with hemorrhagic cerebral venous sinus thrombosis (CVST) is very rare, and the understanding and treatment experience of this case is insufficient. We reported a case of lung cancer brain metastasis accompanied by venous sinus thrombosis, and describe the diagnosis and treatment plan for colleagues to learn from experience and lessons. 1. The incidence of lung cancer brain metastasis combined with hemorrhagic CVST is very rare, and the understanding and treatment experience of this case is insufficient. 2. The clinical manifestations of metastatic tumors and CVST in patients are not specific, and the evolution of the medical history should be inquired in detail, with careful physical examination and imaging review. 3. CVST should be considered in patients with risk factors. The incidence of hemorrhagic CVST is relatively rare, and due to atypical symptoms and imaging manifestations, it is easy to miss and misdiagnose. 4. The responsible lesion should be determined based on the evolution of the medical history, the treatment of the responsible lesion should be prioritized, symptoms should be relieved in a timely manner and the optimal treatment time should be strived for.
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来源期刊
Thrombosis Journal
Thrombosis Journal Medicine-Hematology
CiteScore
3.80
自引率
3.20%
发文量
69
审稿时长
16 weeks
期刊介绍: Thrombosis Journal is an open-access journal that publishes original articles on aspects of clinical and basic research, new methodology, case reports and reviews in the areas of thrombosis. Topics of particular interest include the diagnosis of arterial and venous thrombosis, new antithrombotic treatments, new developments in the understanding, diagnosis and treatments of atherosclerotic vessel disease, relations between haemostasis and vascular disease, hypertension, diabetes, immunology and obesity.
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