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Simultaneous meningioma and brain metastasis from renal cell carcinoma – a rare presentation. Case report

Authors :
Aline Lariessy Campos Paiva
João Luiz Vitorino Araujo
Vinícius Ricieri Ferraz
José Carlos Esteves Veiga
Source :
São Paulo Medical Journal, Vol 135, Iss 3, Pp 296-301 (2017)
Publication Year :
2017
Publisher :
Associação Paulista de Medicina, 2017.

Abstract

ABSTRACT CONTEXT: Brain metastases are the most common tumors of the central nervous system. Because of their high frequency, they may be associated with rare situations. Among these are tumor-to-tumor metastasis and an even a rarer situation called simultaneous brain tumors, which are more related to primary tumors of the reproductive and endocrine systems. CASE REPORT: A 56-year-old male patient with a history of renal cell carcinoma (which had previously been resected) presented with a ventricular lesion (suggestive of metastatic origin) and simultaneous olfactory groove lesion (probably a meningioma). First, only the ventricular lesion was dealt with, but after a year, the meningothelial lesion increased and an occipital lesion appeared. Therefore, both of these were resected in a single operation. All the procedures were performed by the same neurosurgeon. The patient evolved without neurological deficits during the postoperative period. After these two interventions, the patient remained well and was referred for adjuvant treatment. CONCLUSIONS: This study provides the first description of an association between these two tumors. Brain metastases may be associated with several lesions, and rare presentations such as simultaneity with meningioma should alert neurosurgeons to provide the best oncological treatment.

Details

Language :
English
ISSN :
18069460 and 15163180
Volume :
135
Issue :
3
Database :
Directory of Open Access Journals
Journal :
São Paulo Medical Journal
Publication Type :
Academic Journal
Accession number :
edsdoj.8986af93888448afa8637af8ae01cbaf
Document Type :
article
Full Text :
https://doi.org/10.1590/1516-3180.2016.016228102016