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乳腺癌软脑膜转移的诊断及治疗进展

董晓培 张少华

军事医学2026,Vol.50Issue(1):70-77,8.
军事医学2026,Vol.50Issue(1):70-77,8.DOI:10.7644/j.issn.1674-9960.2025-00108

乳腺癌软脑膜转移的诊断及治疗进展

Advances in diagnosis and treatment of leptomeningeal metastases from breast cancer

董晓培 1张少华2

作者信息

  • 1. 解放军总医院肿瘤医学部,北京 100071
  • 2. 解放军总医院肿瘤医学部,北京 100071||安徽医科大学,合肥 230031
  • 折叠

摘要

Abstract

Leptomeningeal metastases(LM)in breast cancer patients are rare,but are usually accompanied by severe symptoms and a very poor prognosis.So far,MRI of the brain and/or spinal cord and cytological examination of cerebrospinal fluid(CSF)are the two primary methods used to diagnose LM.However,the sensitivity of either technique is limited,leading to a long diagnostic process,and delaying treatment.Traditional chemotherapy and targeted therapies used to treat systemic diseases are hampered by the blood-brain barrier.Similarly,the efficacy of intrathecal therapy and radiotherapy is controversial.This review summarized advances in the diagnosis and therapies of LM in breast cancer,in the hopes of providing a reference for clinical practice.

关键词

乳腺肿瘤/软脑膜转移/诊断/治疗进展

Key words

breast neoplasms/leptomeningeal metastases/diagnosis/therapeutic progress

分类

医药卫生

引用本文复制引用

董晓培,张少华..乳腺癌软脑膜转移的诊断及治疗进展[J].军事医学,2026,50(1):70-77,8.

军事医学

1674-9960

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