Alveolar rhabdomyosarcoma metastatic to the brain
Autor: | Orlando De Jesus, Eduardo J. Labat, Juan L Pérez-Berenguer, Freddie Y. Rodriguez-Beato, Javier Sanchez-Ortiz, Patricia Delgado |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Adult
Male medicine.medical_specialty Stereotactic biopsy Case Report Corpus callosum Metastasis Lesion 03 medical and health sciences Young Adult 0302 clinical medicine Biopsy Rhabdomyosarcoma medicine Humans Rhabdomyosarcoma Alveolar medicine.diagnostic_test business.industry Brain Neoplasms Neurooncology Brain General Medicine medicine.disease 030220 oncology & carcinogenesis Alveolar rhabdomyosarcoma Neurosurgery Radiology medicine.symptom Neoplasm Recurrence Local business 030217 neurology & neurosurgery |
Zdroj: | BMJ Case Rep |
Popis: | Alveolar rhabdomyosarcoma (ARMS) has a predilection for the peripheral extremities, and brain metastases are rare, with only a few cases reported after the initial diagnosis. We present a 22-year-old male patient with a right orbital-ethmoidal ARMS who presented with a recurrence to the brain 1 year after the initial diagnosis. He was referred to our institution due to acute neurological deterioration. A brain MRI was performed, showing an enhancing bilateral parafalcine lesion centred about the bilateral cingulate gyri with extension into the corpus callosum. The patient was taken to the operating room for a stereotactic biopsy under general anaesthesia, which was compatible with metastatic ARMS. Our case is exceedingly rare, considering the initial diagnosis of an orbital/ethmoidal ARMS, its subsequent metastasis to the brain and its clinical sequelae after a biopsy. Prognosis after cerebral metastatic ARMS is dismal, with most patients expiring due to central nervous system metastatic disease. |
Databáze: | OpenAIRE |
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