Open AccessCerebellopontine angle metastatic melanoma mimicking schwannoma in a sexagenarian: Case report
Author(s) -
Huimin Xie,
Li Li,
Seidu A. Richard,
Lan Zhang,
Yuekang Zhang
Publication year - 2022
Publication title -
advances in bioscience and clinical medicine
Language(s) - English
Resource type - Journals
ISSN - 2203-1413
DOI - 10.7575/aiac.abcmed.v.10n.1p.33
Subject(s) - medicine , cerebellopontine angle , headaches , schwannoma , metastasis , lesion , melanoma , radiation therapy , leptomeninges , chemotherapy , cerebrospinal fluid , radiology , pathology , dermatology , cancer , surgery , magnetic resonance imaging , central nervous system , cancer research
Metastasis of melanomas to the cerebellopontine angle (CPA) are very rare. Dissemination via blood, cerebrospinal fluid and/or leptomeninges may be the principal pathway for metastatic spread of malignant melanomas to the CPA. Case presentation: A 68-years old man presented with two years history of hearing lost in the right ear with associated dizziness and headaches. A skin lesion was seen on the patient’s right forearm. MRI revealed a nodular abnormal signal intensity at the right CPA which was resected and pathology revealed metastatic melanoma. Conclusion: Aggressive treatment regime comprising of a combination of surgery, chemotherapy and radiotherapy is very efficacious in prolonging the survival of patients with metastatic melanomas to the brain especially the metastasis to the CPA.