颅内转移瘤的治疗现状及进展

Status and the progress of treatment in brain metastasis

近年来,随着影像诊断学技术的发展,脑转移瘤的确诊病例数日益增多,但迄今为止仍无十分有效的单一治疗手段。单发脑转移瘤外科术后复发率高,多发脑转移瘤若原发病灶得不到有效控制,外科切除并不能延长生存。全脑放射治疗是多发脑转移瘤的基本放疗手段,立体定向放射治疗只适用于某些脑转移瘤患者。单纯化疗有效率并不理想。因此,应根据综合治疗这一原则,将手术、放疗、化疗等多种治疗手段有机的结合起来。

As the development of diagnostic technique and treatment level, more and more brain metastasis have been diagnosed, However, there was still no effectively single method to cure the disease, Single lesion has highly recurrence rate after operation, The survival time of multiple brain metastasis patients could not be prolonged, if primary lesion could not be controlled effectively after excision, Whole brain radiation is the basic method of multiple brain metastasis. Stereotactic radiosurgery is only applicable to some patients, The effect of single chemotherapy is not satisfied, So it is advised that surgery, radiotherapy and chemotherapy be combined together organically, This paper reviews the status and the progress of treatments in brain metastasis.