Atypical clinical and radiologic findings in a patient with brain metastatic lesions
We report the case of a 47-year-old man who was admitted to our clinic with an intractable headache, nausea, and sporadic vomiting, as well as speech difficulties and a ‘floating’ sensation. This man had no prior medical history. MRI of the brain showed evidence of over 20 supra- and infratentorial...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pensoft Publishers
2023-10-01
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| Series: | Folia Medica |
| Online Access: | https://foliamedica.bg/article/84810/download/pdf/ |
| _version_ | 1797641736587051008 |
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| author | Eray Halil Ekaterina Viteva Georgi Vasilev Krasimir Shukerski Penka Atanassova |
| author_facet | Eray Halil Ekaterina Viteva Georgi Vasilev Krasimir Shukerski Penka Atanassova |
| author_sort | Eray Halil |
| collection | DOAJ |
| description | We report the case of a 47-year-old man who was admitted to our clinic with an intractable headache, nausea, and sporadic vomiting, as well as speech difficulties and a ‘floating’ sensation. This man had no prior medical history. MRI of the brain showed evidence of over 20 supra- and infratentorial capsulated ring-enhancing lesions. All other paraclinical investigations done in our clinic were unremarkable and we excluded our first assumption of neurocysticercosis, as well as other parasitic infections. The patient was then referred to the Oral and Maxillofacial Surgery Clinic for an excisional biopsy of a submandibular formation, which was later verified to represent a lymph node metastasis from a poorly differentiated adenocarcinoma. A chest X-ray failed to demonstrate any significant pathology and the immunohistochemical constellation of the lymph node metastasis excluded the possibility of the primary tumor originating in the lung or the prostate. Due to the unresolved diagnostic query, a whole-body PET/CT was performed demonstrating a formation with malignant characteristics in the basal segment of the left lung, reaching the pleura and the left hilum, as well as solitary enlarged mesenteric and mediastinal lymph nodes. Following clinical consultations, it was determined that the patient was inoperable and chemotherapy and palliative CNS irradiation were recommended. |
| first_indexed | 2024-03-11T13:49:55Z |
| format | Article |
| id | doaj.art-32f261c1e81f4807a8e2278aa1f5c0ac |
| institution | Directory Open Access Journal |
| issn | 1314-2143 |
| language | English |
| last_indexed | 2024-03-11T13:49:55Z |
| publishDate | 2023-10-01 |
| publisher | Pensoft Publishers |
| record_format | Article |
| series | Folia Medica |
| spelling | doaj.art-32f261c1e81f4807a8e2278aa1f5c0ac2023-11-02T09:11:13ZengPensoft PublishersFolia Medica1314-21432023-10-0165584484810.3897/folmed.65.e8481084810Atypical clinical and radiologic findings in a patient with brain metastatic lesionsEray Halil0Ekaterina Viteva1Georgi Vasilev2Krasimir Shukerski3Penka Atanassova4Medical University of PlovdivSt George University HospitalMedical University of PlovdivSt George University HospitalSt George University HospitalWe report the case of a 47-year-old man who was admitted to our clinic with an intractable headache, nausea, and sporadic vomiting, as well as speech difficulties and a ‘floating’ sensation. This man had no prior medical history. MRI of the brain showed evidence of over 20 supra- and infratentorial capsulated ring-enhancing lesions. All other paraclinical investigations done in our clinic were unremarkable and we excluded our first assumption of neurocysticercosis, as well as other parasitic infections. The patient was then referred to the Oral and Maxillofacial Surgery Clinic for an excisional biopsy of a submandibular formation, which was later verified to represent a lymph node metastasis from a poorly differentiated adenocarcinoma. A chest X-ray failed to demonstrate any significant pathology and the immunohistochemical constellation of the lymph node metastasis excluded the possibility of the primary tumor originating in the lung or the prostate. Due to the unresolved diagnostic query, a whole-body PET/CT was performed demonstrating a formation with malignant characteristics in the basal segment of the left lung, reaching the pleura and the left hilum, as well as solitary enlarged mesenteric and mediastinal lymph nodes. Following clinical consultations, it was determined that the patient was inoperable and chemotherapy and palliative CNS irradiation were recommended.https://foliamedica.bg/article/84810/download/pdf/ |
| spellingShingle | Eray Halil Ekaterina Viteva Georgi Vasilev Krasimir Shukerski Penka Atanassova Atypical clinical and radiologic findings in a patient with brain metastatic lesions Folia Medica |
| title | Atypical clinical and radiologic findings in a patient with brain metastatic lesions |
| title_full | Atypical clinical and radiologic findings in a patient with brain metastatic lesions |
| title_fullStr | Atypical clinical and radiologic findings in a patient with brain metastatic lesions |
| title_full_unstemmed | Atypical clinical and radiologic findings in a patient with brain metastatic lesions |
| title_short | Atypical clinical and radiologic findings in a patient with brain metastatic lesions |
| title_sort | atypical clinical and radiologic findings in a patient with brain metastatic lesions |
| url | https://foliamedica.bg/article/84810/download/pdf/ |
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