Cargando…

Oesophageal adenocarcinoma metastasis into a microcystic meningioma: a rare occurrence of tumour to tumour metastasis

A 78-year-old male was admitted with a history of a fall following seizures. This occurred 2 years post-curative treatment (minimally invasive oesophagectomy with neo-adjuvant chemotherapy) for an oesophageal adenocarcinoma staged T3N0M0. On examination, patient had left-sided hemiparesis. A CT and...

Descripción completa

Detalles Bibliográficos
Autores principales: Khan, Basil Zia, Akinjise-ferdinand, Oluwaseun, Kumar, Bhaskar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The British Institute of Radiology. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9499425/
https://www.ncbi.nlm.nih.gov/pubmed/36177251
http://dx.doi.org/10.1259/bjrcr.20210157
_version_ 1784794989721550848
author Khan, Basil Zia
Akinjise-ferdinand, Oluwaseun
Kumar, Bhaskar
author_facet Khan, Basil Zia
Akinjise-ferdinand, Oluwaseun
Kumar, Bhaskar
author_sort Khan, Basil Zia
collection PubMed
description A 78-year-old male was admitted with a history of a fall following seizures. This occurred 2 years post-curative treatment (minimally invasive oesophagectomy with neo-adjuvant chemotherapy) for an oesophageal adenocarcinoma staged T3N0M0. On examination, patient had left-sided hemiparesis. A CT and magnetic resonance image (MRI) of the head confirmed a right frontotemporal meningioma with features suggestive of internal haemorrhage or calcification and mild local mass effect. A joint decision was made between the local neuro-surgical and neurology departments to manage this conservatively. However, due to progressive neurological deterioration and a concomitant increase in the size of the haemorrhagic lesion, emergent surgical intervention was indicated. The patient underwent a Simpson one complete resection (complete tumour resection including associated dura matter and abnormal underlying bone). Postoperative histology confirmed a rare case of metastatic oesophageal adenocarcinoma to a microcystic meningioma (World Health Organization Grade I). The meningioma was the only known site of distant metastasis for the oesophageal adenocarcinoma. Our case highlights the only documented case of the adenocarcinoma subtype of oesophageal tumour metastasizing to a meningioma. This case demonstrates the rare but well-documented occurrence of tumour to tumour metastasis. It highlights the importance played by imaging and clinical correlation when assessing progressively growing meningiomas in patients with a history of or underlying malignancy.
format Online
Article
Text
id pubmed-9499425
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher The British Institute of Radiology.
record_format MEDLINE/PubMed
spelling pubmed-94994252022-09-28 Oesophageal adenocarcinoma metastasis into a microcystic meningioma: a rare occurrence of tumour to tumour metastasis Khan, Basil Zia Akinjise-ferdinand, Oluwaseun Kumar, Bhaskar BJR Case Rep Case Report A 78-year-old male was admitted with a history of a fall following seizures. This occurred 2 years post-curative treatment (minimally invasive oesophagectomy with neo-adjuvant chemotherapy) for an oesophageal adenocarcinoma staged T3N0M0. On examination, patient had left-sided hemiparesis. A CT and magnetic resonance image (MRI) of the head confirmed a right frontotemporal meningioma with features suggestive of internal haemorrhage or calcification and mild local mass effect. A joint decision was made between the local neuro-surgical and neurology departments to manage this conservatively. However, due to progressive neurological deterioration and a concomitant increase in the size of the haemorrhagic lesion, emergent surgical intervention was indicated. The patient underwent a Simpson one complete resection (complete tumour resection including associated dura matter and abnormal underlying bone). Postoperative histology confirmed a rare case of metastatic oesophageal adenocarcinoma to a microcystic meningioma (World Health Organization Grade I). The meningioma was the only known site of distant metastasis for the oesophageal adenocarcinoma. Our case highlights the only documented case of the adenocarcinoma subtype of oesophageal tumour metastasizing to a meningioma. This case demonstrates the rare but well-documented occurrence of tumour to tumour metastasis. It highlights the importance played by imaging and clinical correlation when assessing progressively growing meningiomas in patients with a history of or underlying malignancy. The British Institute of Radiology. 2021-12-14 /pmc/articles/PMC9499425/ /pubmed/36177251 http://dx.doi.org/10.1259/bjrcr.20210157 Text en © 2022 The Authors. Published by the British Institute of Radiology https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
spellingShingle Case Report
Khan, Basil Zia
Akinjise-ferdinand, Oluwaseun
Kumar, Bhaskar
Oesophageal adenocarcinoma metastasis into a microcystic meningioma: a rare occurrence of tumour to tumour metastasis
title Oesophageal adenocarcinoma metastasis into a microcystic meningioma: a rare occurrence of tumour to tumour metastasis
title_full Oesophageal adenocarcinoma metastasis into a microcystic meningioma: a rare occurrence of tumour to tumour metastasis
title_fullStr Oesophageal adenocarcinoma metastasis into a microcystic meningioma: a rare occurrence of tumour to tumour metastasis
title_full_unstemmed Oesophageal adenocarcinoma metastasis into a microcystic meningioma: a rare occurrence of tumour to tumour metastasis
title_short Oesophageal adenocarcinoma metastasis into a microcystic meningioma: a rare occurrence of tumour to tumour metastasis
title_sort oesophageal adenocarcinoma metastasis into a microcystic meningioma: a rare occurrence of tumour to tumour metastasis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9499425/
https://www.ncbi.nlm.nih.gov/pubmed/36177251
http://dx.doi.org/10.1259/bjrcr.20210157
work_keys_str_mv AT khanbasilzia oesophagealadenocarcinomametastasisintoamicrocysticmeningiomaarareoccurrenceoftumourtotumourmetastasis
AT akinjiseferdinandoluwaseun oesophagealadenocarcinomametastasisintoamicrocysticmeningiomaarareoccurrenceoftumourtotumourmetastasis
AT kumarbhaskar oesophagealadenocarcinomametastasisintoamicrocysticmeningiomaarareoccurrenceoftumourtotumourmetastasis