Lung Cancer With Coursing Atypical Brain Metastase

Year 2011, Volume: 13 Issue: 3, 43 - 45, 01.12.2011

Burak Erdemci Hızır Ulvi Recep Aygül Recep Demir

Abstract

Brain metastases are the most common form of brain cancer. Patients with symptom and signsof brain metastasis may rarely present before the primary cancer causes any symptom and sign.Especially atypical multiple cranial lesions may be misinterpreted as hydatid cyst, TORCHinfection, sarcoidosis, human immunodeficiency virus (HIV), neurocysticercosis andtuberculosis according to its radiological appearance. A 54 year old male patient applied withheadache going on for one month, dizziness and nausea. Neurological examination was normal.In his cranial MRI there were multiple lesions consistent with parasitic infestation. The patientwas presented due to the appearance of his symptom and signs of multiple brain metastases ofa small cell lung cancer mimicking parasitic infestation radiologically, before any symptoms ofthe primary tumor arised

Keywords

Small cell lung carcinoma, brain metastasis, infestation

Akciğer Kanserinin Atipik Seyirli Multiple Beyin Metastazı

Abstract

Beyin metastazları, en sık görülen beyin tümörleridir. Nadir olarak metastaza bağlı kliniknörolojik belirtiler primer tümöre ait belirtilerden önce ortaya çıkabilir. Atipik klinik seyir vemultipl beyin lezyonları olduğunda özellikle kist hidatik, TORCH, sarkoidoz, HIV, sistosarkozis,tüberküloz gibi hastalıklarla radyolojik olarak karışabilir. Ellidört yaşında erkek hasta 1 aydırdevam eden baş ağrısı, baş dönmesi ve bulantı şikâyetiyle müracaat etti, nörolojik muayenesinormaldi. Beyin kranial manyetik rezonans görüntüleme enfestasyona bağlı multiple beyinlezyonunu düşündürüyordu. Olgu küçük hücreli akciğer kanseri bulgularından önce multiplebeyin metastazı belirlenmesi, kranial MRI incelemesinin daha çok enfestasyonu düşündürmesi,multiple lezyonuna rağmen nörolojik muayenesinin normal olması gibi atipik özelliklerisebebiyle takdim edildi

Keywords

Küçük hücreli akciğer kanseri, beyin metastazı, enfestasyon

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