Lung adenocarcinoma presenting with brain metastases and a cerebellar abscess

This lung cancer diagnosis at a glance

Stage at diagnosis
Stage IV
Subtype
Adenocarcinoma
Sex
Female
Spread to
brain
Treatment
surgery

Treatment course, step by step

  1. Underwent posterior fossa craniectomy with excision of the cerebellar lesion and external ventricular drainage.

What happened, in summary

A 35-year-old woman presented with 1.5 months of headache, nausea, vomiting and vertigo. Brain imaging showed a large right cerebellar mass causing hydrocephalus, together with additional lesions in the left frontal and parietal regions that were suspicious for metastases.

She underwent posterior fossa surgery with removal of the cerebellar lesion and placement of an external ventricular drain. During surgery, the lesion had a thick capsule with pus, showing that an abscess was present within the tumor. Pathology and immunohistochemistry identified metastatic adenocarcinoma consistent with a lung primary.

She recovered from the operation without reported surgical complications, and the ventricular drain was later removed. Her immediate postoperative recovery was stable after treatment of the cerebellar lesion and abscess.

Where this story comes from

This is a lay summary of an account first published by PMC / PubMed Central. Read the original in full

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