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Carcinomatous meningitis secondary to cholangiocarcinoma without other systemic metastasis
Author(s) -
Okamura Yukiyasu,
Harada Akio,
Maeda Atsuyuki,
Fujioka Akira,
Horiba Takao,
Ishigure Kiyoshi,
Hirai Atsushi,
Ito Yoichi,
Uesaka Katsuhiko
Publication year - 2008
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-007-1249-y
Subject(s) - medicine , meningitis , cancer , metastasis , pathology , meningeal carcinomatosis , carcinoma , melanoma , breast cancer , oncology , surgery , cancer research , cerebrospinal fluid
Carcinomatous meningitis is clinically less common than brain metastasis or spinal cord compression, but has dire consequences for both the quality of life and the overall survival of patients with various kinds of malignancies. It occurs in about 5% of all adult cancer patients, though autopsies may double this number. The primary tumors that frequently cause carcinomatous meningitis include lung cancer, breast cancer, leukemia, lymphoma, and melanoma. Carcinomatous meningitis secondary to primary tumors in the gastrointestinal tract is clinically infrequent. In this report, we describe a 73‐year‐old man with lower bile duct cancer, who developed carcinomatous meningitis following surgical resection of the primary cancer. To our knowledge, this is the third case of carcinomatous meningitis secondary to cholangiocarcinoma described in the literature so far.