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该病例在病程晚期发现肘关节处包块及鹰嘴病理性骨折,于1988年3月15日作肘部包块活检发现为恶性肿瘤细胞。结合其伴有颅骨板障虫蛀样破坏,考虑颅内病变及骨病变为转移性肿瘤损害。再次复查CT提示:右小脑、右下丘脑及额叶低密度区,小脑及下丘脑处有增强效应,第四脑室向左前方移位,四叠体池右侧变形前移。复查胸片发现双下肺纹理增多,右下肺野见一块影,疑为肺癌可能。痰细胞检查为肺癌。根据病程演变,病理检查及密切的CT随访.可以确定本例诊断为肺癌颅内转移及骨转移。
The case found in the late course of elbow joint mass and olecranon pathological fractures, March 15, 1988 for elbow mass biopsy was found to be malignant cells. Combined with its destruction with skull plate moth damage, consider intracranial lesions and bone lesions as metastatic tumor damage. Again review CT prompt: right cerebellum, right hypothalamus and frontal lobe low density area, cerebellum and hypothalamus have enhanced effect, the fourth ventricle to the left front shift, quadrigeminal pool right deformation forward. Review chest X-ray findings double lower lungs increased, lower right lung field see a shadow, suspected lung cancer may. Sputum cell examination for lung cancer. According to the course of disease evolution, pathological examination and close CT follow-up, we can confirm the diagnosis of lung cancer intracranial metastases and bone metastases.