A Case of Gastric Cancer Manifesting as a Solitary Brain Metastasis in the Cerebellopontine Angle That Mimicked Acoustic Neuroma / 전남의대학술지
Chonnam Medical Journal
; : 133-135, 2013.
Article
de En
| WPRIM
| ID: wpr-78978
Bibliothèque responsable:
WPRO
ABSTRACT
At the time of diagnosis, about 20% of patients with gastric cancer have stage IV disease involving the liver, lung, and bone. Brain metastasis from gastric cancer is exceedingly rare, with an incidence of <1% of clinical cases. A 59-year-old man was admitted with hearing loss in the left ear and left facial palsy for 1 month. A magnetic resonance imaging scan revealed a tumor in the cerebellopontine angle that extended to the inner auditory canal and that was clinically diagnosed as acoustic neuroma. After complete resection, histological examination showed metastatic poorly differentiated carcinoma. Further investigation revealed advanced gastric cancer involving the antrum with no evidence of the involvement of other sites except the brain parenchyma. Palliative total gastrectomy was performed and the surgical specimen revealed a poorly cohesive carcinoma that was histopathologically identical to that of the resected brain tumor. Here we report this rare case of gastric cancer that initially presented as a solitary brain metastasis mimicking acoustic neuroma.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Tumeurs de l'estomac
/
Acoustique
/
Encéphale
/
Tumeurs du cerveau
/
Imagerie par résonance magnétique
/
Neurinome de l'acoustique
/
Angle pontocérébelleux
/
Incidence
/
Diagnostic
/
Oreille
Type d'étude:
Diagnostic_studies
/
Incidence_studies
/
Prognostic_studies
Limites du sujet:
Humans
langue:
En
Texte intégral:
Chonnam Medical Journal
Année:
2013
Type:
Article