Text/Yangcheng Evening News all-media reporter Chen Hui
Correspondent Chen Feng Zhao Xianting
Photo/Courtesy of the hospital
Wife breast cancer brain metastasis to do surgery needs to shave her hair, the husband is also accompanied by shaved head, before he spent seven years with his wife, meticulous care, this is the warm story that the reporter learned from the Cancer Prevention and Control Center of Sun Yat-sen University.
Pre-operative photos
On the morning of December 30, 2021, Professor Mou Yongyue of the Department of Neurosurgery of the Cancer Prevention and Control Center of Sun Yat-sen University made a routine round, and the 1 bed was Ms. Luo, because she had to shave her head because she was going to have head surgery, Professor Mou Yongzhi smiled and asked Ms. Luo's husband: "Why did you get a bald head?" "I'll accompany her!" Everyone laughed!
After surgery after discharge
In 2015, Ms. Luo underwent two surgeries due to breast cancer, and was given chemotherapy, targeted therapy and endocrine therapy after surgery. Ill-fated, in Early December 2021, there was no obvious trigger for limb convulsions, lasting about 1 minute, the attack was clear, accompanied by dizziness, vomiting, MR found a single large brain metastase, requiring surgical treatment. It is gratifying that my husband has been with him for seven years, and he has taken care of him meticulously... Knowing that Ms. Luo shaved her hair full of hair because she was going to have surgery this time, her husband also shaved her head with her.
Which tumors are susceptible to brain metastasis?
How come the tumor of the breast grows to the lungs and then to the brain, what is the situation? Professor Mu Yongzhi answered that brain metastases are solid lesions formed by tumor cells of extracranial malignancies (such as lung cancer, breast cancer, intestinal cancer, melanoma, etc.) entering the skull from the primary site and growing, and some will also metastasize to the skull, meninges and spinal cord tissue. Brain metastases are single or multiple, with a population incidence of 8.3 per 100,000 person-years and up to 53.7 per 100,000 person-years in people aged 65 to 74 years. Melanoma, lung cancer and breast cancer are predisposed. 48% of lung cancer patients ,including non-small cell and small cell lung cancer) develop brain metastases during the course of the disease.
If the tumor has unfortunately metastasized, in addition to maintaining an optimistic and upward attitude like Ms. Luo and her wife, and actively facing life, you also need to pay attention to the following points:
1. Early detection and early diagnosis
Brain tumors have the following common symptoms.
Increased intracranial pressure: most patients present with headache, mostly in the early morning. Some brain metastases are larger, or the perigma edema is severe, and the clinical progression is rapid, and patients may have headache, vomiting, optic nerve papilledema, and even hernia.
Focal nerve function symptoms: The function of brain tissue domination in different parts is different, so the symptoms caused by tumors that occur in different parts of the skull are also different. Hemiplegia or limited mobility, epilepsy, aphasia, paresthesia, decreased vision, poor localization and mental abnormalities are also common symptoms.
Tumor stroke: acute stroke manifestations may occur in about 5% of patients because the tumor may bleed.
Symptoms associated with primary tumors outside the skull: such as symptoms related to lung cancer such as cough and hemoptysis.
When the above conditions occur, timely medical examination, early diagnosis, so as not to delay treatment.
2. Early treatment
It is undeniable that although the overall prognosis of patients with brain metastases is worse than that of cancer patients who have not developed brain metastases, this does not mean that brain metastases are terminally ill. Professor Mou Yongyao said that clinically actively use advanced examination technology to monitor the condition, according to the patient's age, systemic condition, nerve function status, primary tumor site and treatment, whether there are multiple metastases other than the brain, the number, size and location of brain metastases and other factors and other factors to actively cooperate with comprehensive treatment, can improve the quality of life, prolong the survival time, and eventually long-term survival of patients are also large, and even have the possibility of cure.
Brain metastases are treated in internal medicine (targeted, immune, chemotherapy), radiotherapy, surgery, etc. For patients with large tumor volume, obvious symptoms of increased brain pressure, and unclear pathology, surgery can be taken. According to the statistics of the Department of Neurosurgery of the Cancer Prevention and Control Center of Sun Yat-sen University, 337 patients who underwent brain metastase surgery from 2010 to 2018 had a 2-year survival rate of 50.2% after surgery, a 5-year survival rate of 23.4% after surgery, and some cases survived for more than 10 years. "Tumors have become chronic, and brain metastases can become chronic." Professor Mou Yong said. (For more news, please pay attention to Yangcheng Pie pai.ycwb.com)
Source | Yangcheng Evening News Yangcheng Pie
Editor-in-charge | Xu Zhangchao