志鴻 發問時間: 娛樂與音樂明星與名人 · 6 年前

多形惡性神經膠質瘤能醫好嗎?

背景說明:病人罹患Glioblastoma multiforme (多形惡性神經膠質瘤),96年開刀後就一直接受帝盟多標靶治療,日前保險公司不再依癌症給付理賠,而改以一般住院給付。請問內人的腦癌是否真的已經好了?連併發症都沒有嗎?保險公司的說法是真的嗎?

以下為最近一次的核磁共振報告內容,煩請醫學系的朋友幫忙翻譯。

急───急──────急

MRI study of brain without and with contrast enhancement shows:

* s/p right craniotomy. a parenchymal defect in right parietal lobe is noted. there is minimal enhancement around the defect. decreased enhancement intensity is noted as compared with prior study of ‘14/02/07. post-operative change is more likely.

* perifocal edema/gliosis in the surrounding white matter is noted.

* small amound of subdural hemorrhage in right parietal region is noted with high SI on T1WI (Srs: 10. Img: 16) and mixed high and low SI on T2WI. subacute hemorrhage is considered. it is not seen in previous study.

* increased SI in bilateral periventricular regions and centrum semiovales is noted on T2WI/FLAIR. post-radiation change is considered.

* dilatation of the ventricles is found.

* unremarkable visible paranasal sinuses and orbits.

IMP:

1.small amount of subacute SDH in right parietal region.

2.minimal enhancement around the defect fo right parietal lobe with surrounding white matter edema/gliosis. post-operative change is more likely.

please correlate with clinical history and follow up.

1 個解答

評分
  • 最佳解答

    版大吉祥

    建議詢問腦科醫師

    翻譯如下

    大腦沒有和對比度增強顯示RI研究:

    * S / P右側開顱手術。在右頂葉腦實質一個缺陷注意。周圍有缺陷的增強極少。降低增強強度記為與'14 / 2月7日之前的研究比較。手術後變化的可能性更大。

    *灶週水腫/膠質周圍白質注意到。

    *小amound在右頂葉區域硬膜下出血注意到高SI在T1WI(SRS:10圖:16)和混合高低SI在T2WI。亞急性出血被認為是。它沒有出現在先前的研究中。

    *雙邊腦室周圍地區和椎體semiovales增加SI注意到在T2WI / FLAIR。後輻射的變化被認為是。

    *腦室擴張發現。

    *不起眼可見鼻竇和軌道。

    IMP:

    1.小右頂葉區域的量亞急性SDH的。

    各地FO右頂葉與周圍白質水腫/膠質缺陷2.minimal增強。手術後變化的可能性更大。

    請與相關臨床病史及跟進。

    請 參考

    參考資料: google
還有問題?馬上發問,尋求解答。