Open AccessSolitary CNS Metastasis on Initial Presentation of High Grade Serous Carcinoma of the Fallopian Tube
Author(s) -
Felicity Harl,
Cassandra Niemi,
Lori Mankowski Gettle,
Paul Weisman,
Stephen L. Rose
Publication year - 2018
Publication title -
case reports in obstetrics and gynecology
Language(s) - English
Resource type - Journals
eISSN - 2090-6684
pISSN - 2090-6692
DOI - 10.1155/2018/6930986
Subject(s) - medicine , fallopian tube , presentation (obstetrics) , pathology , metastasis , metastatic adenocarcinoma , lesion , metastatic lesion , confusion , fallopian tube cancer , radiology , anatomy , ovarian cancer , cancer , psychology , psychoanalysis
A 68-year-old woman presented with a three-week history of confusion and anomic aphasia. Imaging of her head demonstrated a single large left frontal mass. Pathology revealed metastatic adenocarcinoma of Müllerian origin. Subsequent surgery revealed a small primary site in a fallopian tube, high left para-aortic lymphadenopathy, and no disseminated intraperitoneal disease. This case was remarkable in that CNS metastasis was her presenting symptom and was restricted to a solitary brain lesion, and other disease sites were limited to retroperitoneal lymphadenopathy and a small fallopian tube primary.