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Primary Clear Cell Adenocarcinoma of the Fallopian Tube with Brain Metastasis: A Case Report
Author(s) -
Ryuko Kanji,
Iwanari Osamu,
AbuMusa Antoine,
Fujiwaki Ritsuto,
Kitao Manabu
Publication year - 1994
Publication title -
asia‐oceania journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 0389-2328
DOI - 10.1111/j.1447-0756.1994.tb00439.x
Subject(s) - medicine , brain metastasis , fallopian tube , metastasis , fallopian tube cancer , chemotherapy , radiation therapy , occult , hysterectomy , lesion , surgery , adenocarcinoma , radiology , ovarian cancer , cancer , pathology , alternative medicine
The first reported case of cerebellar metastasis from primary clear cell adenocarcinoma of the fallopian tube is presented. Initially diagnosed as stage la, the patient underwent total abdominal hysterectomy, bilateral salpingo‐oophorectomy and omentectomy, followed by cisplatin‐based chemotherapy and whole pelvic irradiation. Thirty six months later multiple pulmonary metastases were detected that did not respond to chemotherapy. Later the patient presented with cerebellar metastasis. She received whole brain radiotherapy and steroids. The brain lesion partially responded and the patient's neurologic symptoms improved. Throughout there was no evidence of local recurrence. This case suggests that with the prolonged survival achieved by aggressive treatment occult brain metastases might become apparent.