打印 概述 脑转移瘤 打开弹出式对话框 关闭 脑转移瘤 脑转移瘤 当癌症从身体其他部位开始并扩散(转移)到脑部时会产生脑转移瘤。 当癌细胞从原来的位置扩散到大脑时,就会引起脑转移瘤。任何癌症都可以扩散到大脑,但最容易引起脑转移瘤的类型是肺癌、乳腺癌、结肠癌、肾癌和黑色素瘤。 脑转移瘤可在脑内形成一个或多个肿瘤。转移性脑肿瘤逐渐生长,对周围脑组织产生压力并改变其功能。这会引起各种体征和症状,如头痛、性格变化、记忆丧失和癫痫发作。 对于癌症扩散到脑部的患者,治疗可能包括手术、放射疗法、化疗、免疫疗法或这些方法的组合。在某些情况下,可能建议接受其他治疗。治疗的重点通常是减轻疼痛和癌症引起的症状。 症状由脑转移瘤引起的体征和症状可能因转移瘤的位置、大小和生长速度而异。 脑转移瘤的体征和症状包括: 头痛,有时伴有呕吐或恶心 精神变化,例如记忆力问题渐增 癫痫发作 单侧身体无力或麻木 何时就诊如果出现令您担心的持续体征或症状,请与医生约诊。如果您曾经接受过癌症治疗,请将您的病史告知医生。 申请预约 病因当癌细胞从原发位置扩散时,就会引起脑转移瘤。癌细胞可能通过血流或淋巴系统扩散(转移)到脑部,并在此开始增殖。 从原发位置扩散的转移性癌症根据原发性癌症命名。例如,从乳房扩散到脑部的癌症称为转移性乳腺癌,而不是脑癌。 风险因素任何类型的癌症都可能扩散到大脑,但是某些类型的癌症引起脑转移瘤的风险更高,包括: 肺癌 乳腺癌 结肠癌 肾癌 黑色素瘤 来自妙佑医疗国际员工 在 Mayo Clinic 治疗 申请预约 诊断与治疗 Oct. 25, 2022 打印 显示参考文献 AskMayoExpert. Brain metastases (adult). Mayo Clinic; 2018. Niederhuber JE, et al., eds. Brain metastases and neoplastic meningitis. In: Abeloff's Clinical Oncology. 6th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed Sept. 23, 2020. Central nervous system cancers. National Comprehensive Cancer Network. https://www.nccn.org/professionals/physician_gls/default.aspx. Accessed Sept. 23, 2020. Metastatic cancer. National Cancer Institute. https://www.cancer.gov/types/metastatic-cancer. Accessed Sept. 24, 2020. Loeffler JS. Overview of the treatment of brain metastases. https://www.uptodate.com/contents/search. Accessed Sept. 24, 2020. Treatments and side effects. American Brain Tumor Association. https://www.abta.org/about-brain-tumors/treatments-sideeffects. Accessed Sept. 25, 2020. Types of complementary therapies. Cancer.Net. https://www.cancer.net/navigating-cancer-care/how-cancer-treated/integrative-medicine/types-complementary-therapies. Accessed Sept. 25, 2020. Le Rhun E, et al. Leptomeningeal metastases of solid cancer. Current Opinion in Neurology. 2016; doi:10.1097/WCO.0000000000000393. Rades D, et al. A new scoring tool to assess overall survival in patients with intracerebral metastases from gynecological cancers. International Journal of Gynecological Cancer. 2017; doi:10.1097/IGC.0000000000000899. Klos KJ, et al. Brain metastases. The Neurologist. 2004; doi:10.1097/01.nrl.0000106922.83090.71. O'Neill BP, et al. Brain metastatic lesions. Mayo Clinic Proceedings. 1994; doi:10.1016/S0025-6196(12)61374-3. Heim JB, et al. Myosin-1E interacts with FAK proline-rich region 1 to induce fibronectin-type matrix. Proceedings of the National Academy of Sciences of the United States of America. 2017; doi:10.1073/pnas.1614894114. Brown PD, et al. Effect of radiosurgery alone vs. radiosurgery with whole brain radiation therapy on cognitive function in patients with 1 to 3 brain metastases. JAMA. 2016; doi:10.1001/jama.2016.9839. Brown PD, et al. NCCTG N0574 (Alliance): A phase III randomized trial of whole brain radiation therapy (WBRT) in addition to radiosurgery (SRS) in patients with 1 to 3 brain metastases. Journal of Clinical Oncology. 2015; doi:10.1200/jco.2015.33.18_suppl.lba4. Rades D, et al. A matched-pair study comparing whole-brain irradiation alone to radiosurgery or fractionated stereotactic radiotherapy alone in patients irradiated for up to three brain metastases. BMC Cancer. 2017; doi:10.1186/s12885-016-2989-3. Rades D, et al. Prognostic factors after whole-brain radiotherapy alone for brain metastases from malignant melanoma. Anticancer Research. 2016; doi:10.21873/anticanres.11271. Crozier JA, et al. Breast cancer brain metastases: Molecular subtype, treatment and survival. Breast Disease. 2016; doi:10.3233/BD-160237. Cheville AL, et al. Nested cohort study to identify characteristics that predict near-term disablement from lung cancer brain metastases. Archives of Physical Medicine and Rehabilitation. 2017; doi:10.1016/j.apmr.2016.08.473. Warner KJ. Allscripts EPSi. Mayo Clinic. June 30, 2020. Porter AB (expert opinion). Mayo Clinic. Oct. 23, 2020. 脑转移瘤症状与病因诊断与治疗医生与科室在 Mayo Clinic 治疗 Advertisement 妙佑医疗国际不为任何公司或产品背书。广告收入为我们的非营利使命提供支持。 广告与赞助政策 政策 机会 广告选择 妙佑医疗国际出版社 浏览妙佑医疗国际出版社提供的畅销书以及书籍和简报的特别优惠。 NEW: Listen to Health Matters Podcast - 妙佑医疗国际出版社NEW: Listen to Health Matters Podcast《妙佑医疗国际论失禁》(Mayo Clinic on Incontinence) - 妙佑医疗国际出版社《妙佑医疗国际论失禁》(Mayo Clinic on Incontinence)《糖尿病基本知识》 - 妙佑医疗国际出版社《糖尿病基本知识》妙佑医疗国际论平衡和听觉 - 妙佑医疗国际出版社妙佑医疗国际论平衡和听觉妙佑医疗国际免费饮食方案评估 - 妙佑医疗国际出版社妙佑医疗国际免费饮食方案评估妙佑医疗国际健康通讯 — 免费书籍 - 妙佑医疗国际出版社妙佑医疗国际健康通讯 — 免费书籍 CON-20117642 患者护理和健康信息 疾病与状况 脑转移瘤