29 August 2008
Intracranial and scalp metastasis of endometrial carcinoma
Muhammad U. Farooq, Howard T. ChangMed Sci Monit 2008; 14(9): CS87-88 :: ID: 867950
Abstract
Background: Endometrial adenocarcinoma is one of the most common gynecological tumors in postmenopausal women. The distant metastasis mostly involves liver, lung and bone. Scalp metastases from endometrial adenocarcinoma are very rare.
Case Report: A 63-year-old female with history of irregular vaginal bleeding presented with progressive headaches and a rapidly enlarging mass on the left forehead. There were no other associated symptoms including any motor or sensory deficits. MRI of the head showed a large 8cm tumor extending from the left frontal subcutaneous tissue through the skull into the epidural space. CT scan of the abdomen, pelvis and thorax revealed a uterine mass and showed multiple signal abnormalities in the ribs and vertebra indicative of metastasis. The patient underwent craniotomy and also had an endometrial biopsy. Both craniotomy and endometrial biopsies revealed endometriod adenocarcinoma.
Conclusions: This case illustrates that although scalp or intracranial metastases from endometrial adenocarcinoma are very rare, it must remain in the differential diagnosis in an elderly woman with dysfunctional uterine bleeding and a scalp tumor.
Keywords: Neoplasm Metastasis -- diagnosis, Neoplasm Metastasis -- pathology, Neoplasm Metastasis -- prevention & control, Neoplasm Metastasis -- radiography, scalp and intracranial metastases, endometrial adenocarcinoma, Brain Neoplasms - secondary, Carcinoma, Endometrioid - pathology, Diagnosis, Differential, Endometrial Neoplasms - pathology, Head and Neck Neoplasms - secondary, Skin Neoplasms - secondary
Editorial
01 April 2024 : Editorial
Editorial: Forty Years of Waiting for Prevention and Cure of HIV Infection – Ongoing Challenges and Hopes for Vaccine Development and Overcoming Antiretroviral Drug ResistanceDOI: 10.12659/MSM.944600
Med Sci Monit 2024; 30:e944600
In Press
06 Mar 2024 : Clinical Research
Prevalence and Variation of Medical Comorbidities in Oral Surgery Patients: A Retrospective Study at Jazan ...Med Sci Monit In Press; DOI: 10.12659/MSM.943884
08 Mar 2024 : Clinical Research
Evaluation of Foot Structure in Preschool Children Based on Body MassMed Sci Monit In Press; DOI: 10.12659/MSM.943765
15 Apr 2024 : Laboratory Research
The Role of Copper-Induced M2 Macrophage Polarization in Protecting Cartilage Matrix in OsteoarthritisMed Sci Monit In Press; DOI: 10.12659/MSM.943738
07 Mar 2024 : Clinical Research
Knowledge of and Attitudes Toward Clinical Trials: A Questionnaire-Based Study of 179 Male Third- and Fourt...Med Sci Monit In Press; DOI: 10.12659/MSM.943468
Most Viewed Current Articles
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952