原发性脑淋巴瘤。(附2例报告)。

Revista medica de Panama Pub Date : 1998-01-01
E Acuña
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引用次数: 0

摘要

原发性脑淋巴瘤(非霍奇金淋巴瘤)是一种局限于中枢神经系统的肿瘤。它们被认为是非常低的频率,不到中枢神经系统原发性肿瘤的1%。对于60岁以下的患者,最新的治疗方法是化疗和放疗的结合:超过这个年龄只推荐放疗。我们报告两例原发性脑淋巴瘤,经病理证实。两例患者均行手术治疗并接受类固醇和放疗。第一例于1992年接受治疗:十余年隆和有限放射治疗(1400拉德)。临床好转,病变消失。1996年,由于复发,他又接受了手术。此时进行了手术切除。病人接受放射治疗。一年后没有复发。第二例于1997年4月手术。术后接受放射治疗,出现失语和偏瘫,后完全康复。两例患者均具有免疫功能,预后仍不确定。
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[Primary lymphoma of the brain. (Report of 2 cases)].

The primary cerebral lymphoma (non Hodgkin lymphoma) is described as a tumor confined to the central nervous system. They are considered of very low frequency, less tha 1% of the primary tumors of the central nervous system. The up to date treatment is a combination of chemio and radio therapy in patients younger than sixty years old: After this age only radiotheraphy is recommended. We present two cases of primary cerebral lypmhomas, confirmed by the pathology. Both were operated and received steroids and radiotherapy. The first one received treatment in 1992: decadron and limited radiotherapy (1400 rads). He improved clinically and the lesion disappeared. In 1996 he was reoperated because of a recurrence. At this time a resection was performed. The patient received radiotherapy. A year later no recurrence has appeared. The second case was operated on april 1997. He received radiotherapy postoperatively, He developed aphasia and hemiplegia from which recovered completely. Both patients were immuno competent and their prognosis remains uncertain.

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