反復する転移性脳腫瘍の外科治療—Alveolar soft-part sarcomaの1例

Surgical Treatment of Recurrent Cerebral Metastatic Tumors : Case of Alveolar Soft-part Sarcoma

Ⅰ．症例

　患者：21歳　女　外国語大学4年生

　主訴：頭痛，嘔気，嘔吐，視野障害

A 21-year-old college girl who had surgical removal and irradiation for an alveolar soft-part sarcoma of her right thigh 10 years ago, and lt. pneumectomy for its metastasis 4 years ago, was admitted to our service with a diagnosis of cerebral metastatic sarcoma. Her chief complaints were headache, nausea and visual disturbance. Neurological examination revealed advanced choked disc and It. homonimous hemianopsia. Angiography and CT scan revealed a large vascular tumor in the rt. occipital lobe and chest films showed multiple metastatic shadows in rt. lung.