PAMJ Clinical Medicine (Jul 2020)

Abscess within a brain metastasis

  • Hassan Baallal,
  • Fjouji Salah-Eddine,
  • Badr Slioui,
  • Ali Akhaddar

DOI
https://doi.org/10.11604/pamj-cm.2020.3.115.23755
Journal volume & issue
Vol. 3, no. 115

Abstract

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Detection of metastases especially intracranial metastases signals a poor prognosis in a patient with cancer. Solitary cystic metastasis is often difficult to differentiate from intra-cerebral abscess which can also occur in these patients. However, the co-existence of an abscess within a CNS metastasis is a rare event. At surgery, a purulent exudate within discrete metastatic tumours was identified. Pathological and microbiological examinations confirmed the coexistence of an abscess within a metastatic carcinoma. This case highlights the importance of considering intratumoral abscesses.

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