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Titolo:
BRAIN METASTASES FROM AN UNKNOWN PRIMARY TUMOR - WHICH DIAGNOSTIC PROCEDURES ARE INDICATED
Autore:
VANDEPOL M; VANAALST VC; WILMINK JT; TWIJNSTRA A;
Indirizzi:
UNIV HOSP MAASTRICHT,DEPT NEUROL,POB 5800 NL-6202 AZ MAASTRICHT NETHERLANDS UNIV HOSP MAASTRICHT,DEPT NEUROL NL-6202 AZ MAASTRICHT NETHERLANDS UNIV UTRECHT HOSP,DEPT PLAST & RECONSTRUCT SURG UTRECHT NETHERLANDS UNIV HOSP MAASTRICHT,DEPT DIAGNOST RADIOL NL-6202 AZ MAASTRICHT NETHERLANDS
Titolo Testata:
Journal of Neurology, Neurosurgery and Psychiatry
fascicolo: 3, volume: 61, anno: 1996,
pagine: 321 - 323
SICI:
0022-3050(1996)61:3<321:BMFAUP>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Keywords:
BRAIN METASTASIS; UNKNOWN PRIMARY TUMOR SITE; DIAGNOSTIC EVALUATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
10
Recensione:
Indirizzi per estratti:
Citazione:
M. Vandepol et al., "BRAIN METASTASES FROM AN UNKNOWN PRIMARY TUMOR - WHICH DIAGNOSTIC PROCEDURES ARE INDICATED", Journal of Neurology, Neurosurgery and Psychiatry, 61(3), 1996, pp. 321-323

Abstract

Seventy two patients presenting with symptomatic brain metastases from undiagnosed primary neoplasms were retrospectively reviewed. Primarymalignancies were diagnosed before death in 54 patients and remained unknown in 18 patients. Lung cancer was the most common primary tumour(72%), followed by breast cancer, colon carcinoma, and melanoma. On physical examination, 51 patients had organ specific symptoms or signs providing guidelines to the diagnostic evaluation. In 24 of the 52 patients with a primary lung tumour, and in four of the 20 patients without, organ specific complaints or findings suggested this tumour type, resulting in a positive predictive value of 85%. Overall, radiography and CT of the chest were very useful in detection of primary lung tumours. This could partly be explained by the high prior probability of detecting such tumours. Other diagnostic procedures should be used on indication only. The prognosis of patients with confirmed primary tumour position did not differ from those with unidentified primary tumour.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 12:58:36