Endometrial cancer metastasis to brain: report of two cases and a review of the literature.
Two cases of brain metastases from endometrial adenocarcinoma are reported. A 70-year-old female presented with lung metastases 14 months after hysterectomy and adjuvant treatment. At 6 months later, a cerebellar metastasis was resected and followed by radiation therapy. The patient died 5.5 months later. In the second case, a 60-year-old patient developed a lung endometrial metastasis 6 years after initial treatment. At 1 year later she was diagnosed with bilateral hydrocephalus caused by a left temporal and posterior fossa tumor. A ventriculoperitoneal shunt was inserted and she received brain radiation. Two weeks later she gradually became comatose, with right hemiparesis. A metastatic, hemorrhagic temporal tumor was resected but the patient never regained consciousness and died after 7 weeks. The existing literature on brain metastases from endometrial adenocarcinoma is reviewed.
Anesthesia and Neurosurgery Service, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.
M
M
Wroński
M
M
Zakowski
E
E
Arbit
W J
WJ
Hoskins
J H
JH
Galicich
D000230:Adenocarcinoma / Q000473:pathology* / Q000556:secondary; D000368:Aged; D001932:Brain Neoplasms / Q000473:pathology* / Q000556:secondary; D002528:Cerebellar Neoplasms / Q000473:pathology / Q000556:secondary; D016889:Endometrial Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D008875:Middle Aged