Sususco Rey Alexis, Olaivar Marietta
Section of Adult Neurology, Cardinal Santos Medical Center, San Juan, PHL.
Department of Neuroscience, University of the East Ramon Magsaysay Memorial Medical Center, Quezon City, PHL.
Cureus. 2024 Jul 14;16(7):e64543. doi: 10.7759/cureus.64543. eCollection 2024 Jul.
The simultaneous occurrence of two distinct intracranial neoplasms within a single patient presents a unique and exceedingly rare clinical scenario. Such cases pose significant diagnostic and therapeutic challenges, complicating clinical decision-making and treatment planning. Understanding the intricacies of these cases is crucial for improving patient outcomes and advancing clinical knowledge. This report aims to provide valuable insights into the complexities surrounding the management of patients with coexisting different intracranial neoplasms. This case report seeks to enhance the understanding of healthcare professionals dealing with similar cases and contribute to the existing literature on this rare phenomenon. This case report details a patient harboring two different but coexisting intracranial neoplasms. The patient, a 73-year-old woman, presented with behavioral changes and bilateral leg weakness. Initial imaging studies, including CT and MRI scans, revealed the presence of two distinct intracranial masses located in the frontal lobes and the falx cerebri. Neurosurgical, chemotherapy, and radiotherapy were offered; however, the patient's family opted for palliative care. The concurrent presence of two distinct intracranial neoplasms in a single patient underscores the complexity of such cases. This report highlights the diagnostic and therapeutic challenges encountered and the importance of a multidisciplinary approach to managing these patients. By sharing this case, we hope to contribute to a broader understanding of such rare clinical scenarios and aid in developing more effective management strategies in the future.
一名患者同时出现两种不同的颅内肿瘤,这是一种独特且极为罕见的临床情况。此类病例带来了重大的诊断和治疗挑战,使临床决策和治疗规划变得复杂。了解这些病例的复杂性对于改善患者预后和推进临床知识至关重要。本报告旨在深入探讨共存不同颅内肿瘤患者管理方面的复杂性。本病例报告旨在增进处理类似病例的医护人员的理解,并为关于这一罕见现象的现有文献做出贡献。本病例报告详细介绍了一名患有两种不同但共存的颅内肿瘤的患者。该患者为一名73岁女性,表现出行为改变和双侧腿部无力。包括CT和MRI扫描在内的初步影像学检查显示,额叶和大脑镰处存在两个不同的颅内肿块。提供了神经外科手术、化疗和放疗;然而,患者家属选择了姑息治疗。一名患者同时存在两种不同的颅内肿瘤凸显了此类病例的复杂性。本报告强调了所遇到的诊断和治疗挑战以及多学科方法管理这些患者的重要性。通过分享这个病例,我们希望有助于更广泛地了解此类罕见的临床情况,并有助于未来制定更有效的管理策略。