Hussain Namath S, Ahmed Sara H
Neurological Surgery, Loma Linda University Medical Center, Loma Linda, USA.
Endocrinology, Anaheim Regional Medical Center, Anaheim, USA.
Cureus. 2020 Jun 2;12(6):e8417. doi: 10.7759/cureus.8417.
The most common underlying diagnosis of intracranial tumor pathology is metastatic disease, followed by primary brain tumors. Chondrosarcomatous metastatic disease of the brain is a rare subtype of this disease process. The patient presented with right-sided weakness. Her history was significant for femur chondrosarcoma which was resected and treated. Laboratory analysis revealed persistent hypercalcemia and hyperglycemia. MRI of the brain was completed, which revealed a left parietal-occipital lesion with smaller lesions in the left frontal and right parietal lobe. Multidisciplinary tumor board recommended surgery for lesion resection and pathology. Surgical pathologic diagnosis after lesion resection was metastatic chondrosarcoma. The patient's preoperative arm and leg weakness improved after surgery. Our paper delineates this unique case of intracranial spread of femur chondrosarcoma.
颅内肿瘤病理最常见的潜在诊断是转移性疾病,其次是原发性脑肿瘤。脑软骨肉瘤转移性疾病是这种疾病过程中一种罕见的亚型。该患者表现为右侧肢体无力。她有股骨软骨肉瘤病史,已接受手术切除和治疗。实验室分析显示持续性高钙血症和高血糖。完成了脑部MRI检查,结果显示左侧顶枕叶有一个病灶,左侧额叶和右侧顶叶有较小的病灶。多学科肿瘤委员会建议进行手术切除病灶并做病理检查。病灶切除后的手术病理诊断为转移性软骨肉瘤。术后患者术前的手臂和腿部无力症状有所改善。我们的论文描述了这例股骨软骨肉瘤颅内转移的独特病例。