| Autor: |
Miyagui T; Departments of Pathology and Clinical Medicine, Infectious and Parasitic Disease Service, Antonio Pedro University Hospital, Faculty of Medicine, Fluminense Federal University, Rio de Janeiro, RJ, Brazil., Luchemback L, Teixeira GH, de Azevedo KM |
| Jazyk: |
angličtina |
| Zdroj: |
Revista do Hospital das Clinicas [Rev Hosp Clin Fac Med Sao Paulo] 2003 May-Jun; Vol. 58 (3), pp. 169-72. Date of Electronic Publication: 2003 Jul 22. |
| DOI: |
10.1590/s0041-87812003000300007 |
| Abstrakt: |
A case of malignant neoplasm is described in which the initial manifestations were mental dysfunction and meningeal irritation, mimicking chronic or subacute meningitis. Physical examination showed cranial nerve involvement and a pelvic tumor. There was progressive deterioration, and death occurred in 2 weeks. The autopsy revealed a gallbladder adenocarcinoma, meningeal carcinomatosis, and ovarian metastasis presenting as a Krukenberg tumor. The authors emphasize the importance of including meningeal carcinomatosis as a possibility in the differential diagnosis of non-characteristic clinical pictures, as well as the importance of the cerebrospinal fluid cytologic examination, repeated as needed, in order to confirm this diagnosis. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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