Case Reports in Obstetrics and Gynecology (Jan 2018)

Solitary CNS Metastasis on Initial Presentation of High Grade Serous Carcinoma of the Fallopian Tube

  • Felicity Harl,
  • Cassandra Niemi,
  • Lori Mankowski Gettle,
  • Paul Weisman,
  • Stephen Rose

DOI
https://doi.org/10.1155/2018/6930986
Journal volume & issue
Vol. 2018

Abstract

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A 68-year-old woman presented with a three-week history of confusion and anomic aphasia. Imaging of her head demonstrated a single large left frontal mass. Pathology revealed metastatic adenocarcinoma of Müllerian origin. Subsequent surgery revealed a small primary site in a fallopian tube, high left para-aortic lymphadenopathy, and no disseminated intraperitoneal disease. This case was remarkable in that CNS metastasis was her presenting symptom and was restricted to a solitary brain lesion, and other disease sites were limited to retroperitoneal lymphadenopathy and a small fallopian tube primary.