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Headache + vomiting turned out to be an intracranial tumor - a case of surgical resection of the stomach and metastasis to an intracranial tumor

author:Zhao Haikang, Department of Neurosurgery

"Director Wang, thank you so much, my old man (husband) is much better now, and he has also started to do stomach tumor treatment!" Ms. Zhou (pseudonym), a family member of the patient, said excitedly when she presented the pennant.

Headache + vomiting turned out to be an intracranial tumor - a case of surgical resection of the stomach and metastasis to an intracranial tumor

More than two months ago, Ms. Zhou's husband, Mr. Li, developed a severe headache without suffering an accident such as trauma.

"When it hurts, I feel like my brain is going to split!" Mr. Li recalled the symptoms, along with severe nausea and vomiting.

Headache + vomiting turned out to be an intracranial tumor - a case of surgical resection of the stomach and metastasis to an intracranial tumor

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Ms. Zhou looked at her husband's painful appearance, did not hesitate, and immediately went to the local hospital for treatment.

The local hospital recommended intracranial imaging tests based on Mr. Li's symptoms to determine the cause of the symptoms. ResultsImaging shows "intracranial mass lesions".

Tips

Mass lesions are imaging tests (X-rays, CTs, MRIs, etc.) that show that "something grows out" at the examination site, which may cause compression and displacement of surrounding tissues, and often tumors.

It turned out that there was an intracranial tumor, and Ms. Zhou immediately decided to hide his condition from her husband for the time being, and communicate with the children to understand the relevant intracranial tumor.

Headache + vomiting turned out to be an intracranial tumor - a case of surgical resection of the stomach and metastasis to an intracranial tumor

In the past two months, Mr. Li's headache has appeared intermittently and has shown obvious progressive aggravation. Many relatives also gradually learned about the relevant situation, and some of them happened to understand that the Department of Neurosurgery of the Second Affiliated Hospital of Xi'an Medical College had rich experience and high level in intracranial tumor resection, so they recommended to our department for further diagnosis and treatment.

"After our evaluation, the diagnosis of the patient's intracranial tumor is clear!" Dr. Wei Yao, the doctor in charge, said, "But further evaluation is needed to see if it is a primary tumor or a secondary tumor."

Tips

Primary tumors refer to local tissues and cells after malignant changes in the primary site tumor; Secondary tumors generally refer to tumors that have metastasized from other sites.

After relevant auxiliary examinations and comprehensive evaluation, Director Wang Fenglu of the Department of Neurosurgery pointed out that "it can be determined that the gastroesophageal junction tumor metastasized into the skull, but the intracranial is single and the patient's symptoms are progressively aggravated." Therefore, it is recommended to perform intracranial tumor resection first to relieve current symptoms before further treatment. ”

Headache + vomiting turned out to be an intracranial tumor - a case of surgical resection of the stomach and metastasis to an intracranial tumor
Headache + vomiting turned out to be an intracranial tumor - a case of surgical resection of the stomach and metastasis to an intracranial tumor
Headache + vomiting turned out to be an intracranial tumor - a case of surgical resection of the stomach and metastasis to an intracranial tumor
Headache + vomiting turned out to be an intracranial tumor - a case of surgical resection of the stomach and metastasis to an intracranial tumor
Headache + vomiting turned out to be an intracranial tumor - a case of surgical resection of the stomach and metastasis to an intracranial tumor
Headache + vomiting turned out to be an intracranial tumor - a case of surgical resection of the stomach and metastasis to an intracranial tumor
Headache + vomiting turned out to be an intracranial tumor - a case of surgical resection of the stomach and metastasis to an intracranial tumor

Video material of Mr. Lee

According to Mr. Li's condition, the neurosurgery department discussed and formulated the protocol of "right temporal lobe mass lesion resection under electrophysiological monitoring" to relieve the intracranial impact of the tumor through surgery.

Tips

Electrophysiological monitoring can show nerve function integrity at any time, reducing the chance of nerve damage and improving surgical safety and quality.

The operation was very successful, and after the tumor was completely removed, symptomatic treatment was given according to Mr. Li's condition.

Headache + vomiting turned out to be an intracranial tumor - a case of surgical resection of the stomach and metastasis to an intracranial tumor
Headache + vomiting turned out to be an intracranial tumor - a case of surgical resection of the stomach and metastasis to an intracranial tumor

Imaging data of Mr. Li after surgery

Postoperative pathological examination showed that the metastasis of esophageal-gastric junction tumor to intracranial diagnosis was clear, and ependymoma was considered after excluding other primary lesions.

Headache + vomiting turned out to be an intracranial tumor - a case of surgical resection of the stomach and metastasis to an intracranial tumor
Headache + vomiting turned out to be an intracranial tumor - a case of surgical resection of the stomach and metastasis to an intracranial tumor
Headache + vomiting turned out to be an intracranial tumor - a case of surgical resection of the stomach and metastasis to an intracranial tumor

Mr. Li's postoperative pathology report

At present, Mr. Li has started the treatment of gastroesophageal junction tumors after recovering well.

This is the scene where Ms. Zhou gave the pennant at the beginning.