Title of article :
Solitary cerebral metastasis from melanoma: value of the ‘en bloc’ resection
Author/Authors :
Maurizio Salvati، نويسنده , , Luigi Cervoni، نويسنده , , Riccardo Caruso، نويسنده , , Franco Maria Gagliardi، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 1996
Pages :
3
From page :
12
To page :
14
Abstract :
The authors report 19 cases of solitary cerebral metastases from malignant malanoma. In 15 patients, the primary lesion was known at the time the metastasis was diagnosed; deltoid-scapular in 4 cases, thoracic in 5, inguinal in 4 and neck in 2. The primary location was unknown in 4 patients. Presenting symptoms were: epileptic seizures in 9 cases, headache in 8, strength deficit of the limbs in 2. In 3 patients (16%) neurological symptoms were the first clinical sign of the systemic tumor; in 16 cases (84%) there was a long interval between treatment of the primary and appearance of the cerebral metastasis (average 3.8 years; median 3.4 years). All patients were submitted to surgery and radiotherapy (whole-brain in 14 and radiosurgery in 5). In 10 cases the lesion was removed ‘en bloc’ (no internal touch technique). Average survival was 9 months (median 8 months) and was influenced by ‘en bloc’ resection and whole-brain irradiation. None of the patients operated by the ‘no touch technique’ presented a recurrence.
Keywords :
Treatment , Brain , melanoma , Single metastasis
Journal title :
Clinical Neurology and Neurosurgery
Serial Year :
1996
Journal title :
Clinical Neurology and Neurosurgery
Record number :
463364
Link To Document :
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