Harl Felicity, Niemi Cassandra, Mankowski Gettle Lori, Weisman Paul, Rose Stephen
University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Compass Oncology, Portland, OR, USA.
Case Rep Obstet Gynecol. 2018 Dec 5;2018:6930986. doi: 10.1155/2018/6930986. eCollection 2018.
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.
一名68岁女性，出现意识模糊和命名性失语3周。头部影像学检查显示左侧额叶有一个单一的大肿块。病理显示为苗勒管来源的转移性腺癌。随后的手术发现一个小的原发部位位于输卵管，左侧主动脉旁高位淋巴结肿大，且无腹膜内播散性疾病。该病例的显著之处在于，中枢神经系统转移是其首发症状，且局限于单个脑病变，其他疾病部位仅限于腹膜后淋巴结肿大和一个小的输卵管原发灶。
