Multiple cerebral melanoma metastases with unknown primary tumor location: A case report

Introduction. Diagnostic and therapeutic approach of multiple cerebral lesions is often challenging. Case report. A 66-year-old man with unremarkable medical history was admitted to our hospital for recent inability and stereotyped movements of the left upper limb. Brain MRI identified eight tumor...

Full description

Bibliographic Details
Main Authors: Liviu Cozma, Delia Tulba, Maria Barsevschi, Cristina Mitu, Laura Dumitrescu, Radu Tanasescu, Bogdan Ovidiu Popescu
Format: Article
Language:English
Published: Amaltea Medical Publishing House 2017-12-01
Series:Romanian Journal of Neurology
Subjects:
Online Access:https://rjn.com.ro/articles/2017.4/RJN_2017_4_Art-09.pdf
_version_ 1798000281472991232
author Liviu Cozma
Delia Tulba
Maria Barsevschi
Cristina Mitu
Laura Dumitrescu
Radu Tanasescu
Bogdan Ovidiu Popescu
author_facet Liviu Cozma
Delia Tulba
Maria Barsevschi
Cristina Mitu
Laura Dumitrescu
Radu Tanasescu
Bogdan Ovidiu Popescu
author_sort Liviu Cozma
collection DOAJ
description Introduction. Diagnostic and therapeutic approach of multiple cerebral lesions is often challenging. Case report. A 66-year-old man with unremarkable medical history was admitted to our hospital for recent inability and stereotyped movements of the left upper limb. Brain MRI identified eight tumoral masses with contrast enhancement and marked SWI signal loss that displayed increased metabolic activity on 18F-FDG PET/CT scan. Cerebral biopsy led to the diagnosis of melanoma with BRAF V600E mutation. Stereotactic radiosurgery and molecular therapy were planned afterwards. Conclusion. Brain MRI is a useful tool in guiding diagnosis of cerebral metastases of unknown origin.
first_indexed 2024-04-11T11:17:43Z
format Article
id doaj.art-d87eb211c4094629920990f0268fc29b
institution Directory Open Access Journal
issn 1843-8148
2069-6094
language English
last_indexed 2024-04-11T11:17:43Z
publishDate 2017-12-01
publisher Amaltea Medical Publishing House
record_format Article
series Romanian Journal of Neurology
spelling doaj.art-d87eb211c4094629920990f0268fc29b2022-12-22T04:27:09ZengAmaltea Medical Publishing HouseRomanian Journal of Neurology1843-81482069-60942017-12-0116417517810.37897/RJN.2017.4.9Multiple cerebral melanoma metastases with unknown primary tumor location: A case reportLiviu Cozma0Delia Tulba1Maria Barsevschi2Cristina Mitu3Laura Dumitrescu4Radu Tanasescu5Bogdan Ovidiu Popescu6Department of Neurology, Colentina Clinical Hospital, Bucharest, RomaniaDepartment of Neurology, Colentina Clinical Hospital, Bucharest, RomaniaDepartment of Neurology, Colentina Clinical Hospital, Bucharest, RomaniaDepartment of Neurology, Colentina Clinical Hospital, Bucharest, RomaniaDepartment of Neurology, Colentina Clinical Hospital, Bucharest, Romania; “Carol Davila” University of Medicine and Pharmacy, Bucharest, RomaniaDepartment of Neurology, Colentina Clinical Hospital, Bucharest, Romania; “Carol Davila” University of Medicine and Pharmacy, Bucharest, RomaniaDepartment of Neurology, Colentina Clinical Hospital, Bucharest, Romania; “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Department of Molecular Medicine, “Victor Babes” National Institute of Pathology, Bucharest, RomaniaIntroduction. Diagnostic and therapeutic approach of multiple cerebral lesions is often challenging. Case report. A 66-year-old man with unremarkable medical history was admitted to our hospital for recent inability and stereotyped movements of the left upper limb. Brain MRI identified eight tumoral masses with contrast enhancement and marked SWI signal loss that displayed increased metabolic activity on 18F-FDG PET/CT scan. Cerebral biopsy led to the diagnosis of melanoma with BRAF V600E mutation. Stereotactic radiosurgery and molecular therapy were planned afterwards. Conclusion. Brain MRI is a useful tool in guiding diagnosis of cerebral metastases of unknown origin.https://rjn.com.ro/articles/2017.4/RJN_2017_4_Art-09.pdfcerebral metastasesunknown primary tumormelanomabraf mutationswi hypointensityfluid-blood level
spellingShingle Liviu Cozma
Delia Tulba
Maria Barsevschi
Cristina Mitu
Laura Dumitrescu
Radu Tanasescu
Bogdan Ovidiu Popescu
Multiple cerebral melanoma metastases with unknown primary tumor location: A case report
Romanian Journal of Neurology
cerebral metastases
unknown primary tumor
melanoma
braf mutation
swi hypointensity
fluid-blood level
title Multiple cerebral melanoma metastases with unknown primary tumor location: A case report
title_full Multiple cerebral melanoma metastases with unknown primary tumor location: A case report
title_fullStr Multiple cerebral melanoma metastases with unknown primary tumor location: A case report
title_full_unstemmed Multiple cerebral melanoma metastases with unknown primary tumor location: A case report
title_short Multiple cerebral melanoma metastases with unknown primary tumor location: A case report
title_sort multiple cerebral melanoma metastases with unknown primary tumor location a case report
topic cerebral metastases
unknown primary tumor
melanoma
braf mutation
swi hypointensity
fluid-blood level
url https://rjn.com.ro/articles/2017.4/RJN_2017_4_Art-09.pdf
work_keys_str_mv AT liviucozma multiplecerebralmelanomametastaseswithunknownprimarytumorlocationacasereport
AT deliatulba multiplecerebralmelanomametastaseswithunknownprimarytumorlocationacasereport
AT mariabarsevschi multiplecerebralmelanomametastaseswithunknownprimarytumorlocationacasereport
AT cristinamitu multiplecerebralmelanomametastaseswithunknownprimarytumorlocationacasereport
AT lauradumitrescu multiplecerebralmelanomametastaseswithunknownprimarytumorlocationacasereport
AT radutanasescu multiplecerebralmelanomametastaseswithunknownprimarytumorlocationacasereport
AT bogdanovidiupopescu multiplecerebralmelanomametastaseswithunknownprimarytumorlocationacasereport