ĐẶC ĐIỂM LÂM SÀNG, CHẨN ĐOÁN HÌNH ẢNH VÀ KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT U DI CĂN NÃO

Abstract

Study on clinical features, imaging of brain metastasis (BM) on 111 patients and results of surgical treatment of brain metastasis on 81 patients at Neurosurgery Center of Viet Duc Hospital from June 2021 to December 2022. Re-examination at the time of surgery and 6 months after surgery. Clinical and imaging features preoperative: Age: age group > 60 (48.65%), male (71,17%), female (28.83%), diagnostic imaging origin of primary tumor: Lung: 68.5%, digestive (3.6%). Evaluation on 81 patients undergoing brain surgery: Rate of complications: bleeding: 2.4%, cerebral edema: 6.2%, hydrocephalus: 1.2%. Assessment of quality of life after surgery according to Karnofsky scale: < 70: 40.7%, from 70-90: 55.6% and 100: 3.7%. There was a difference in survival time and quality of life between the two groups: only surgical treatment of brain metastases alone and multimodality in treatment. Survival: < 1 month: 6.2%, 3-6 months: 25.9%, 6-9 months: 13.6% and > 12 months: 3.7%.