Calcified brain metastatic adenocarcinoma: A case report and review of the literature.

Autor: Bahrami, Eshagh, Taheri, Morteza, Benam, Mohsen
Zdroj: Neuroradiology Journal; Feb2019, Vol. 32 Issue 1, p57-61, 5p, 1 Color Photograph, 1 Chart
Abstrakt: Introduction Calcification in brain metastasis occurs rarely so it is reported in approximately 1% of surgical and 6.6% of autopsy specimens. Here we report a new case of brain metastasis with calcification. Case presentation A 44-year-old woman presented with a generalized tonic–clonic seizure with no neurological deficit on physical examination. Brain imaging demonstrated a hyperdense lesion on computed tomography scan and hyposignal and rim enhancement on T1, T2 and T1 with gadolinium injection sequence images in the right parieto-occipital lobe. Intraoperatively, there was a well-defined solid homogenous calcified mass within brain parenchyma. The lesion that resembled a meningioma was totally resected. The histopathological examination revealed metastatic adenocarcinoma. Conclusion Metastatic brain lesions should be in the differential diagnosis of a solitary calcified brain mass, although it occurs rarely. It is important to differentiate it radiologically from intralesional haemorrhage. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index