Isolated primary intracerebral mycetoma: presenting as a mass lesion in a patient with prostate cancer and multiple myeloma.
We report a patient with a history of prostate cancer and multiple myeloma, with a solitary indolent intracerebral mass lesion without any constitutional symptoms and minimal neurologic symptoms. The radiographic appearance of the lesion was that of a tumor but resection revealed a mycetoma, consistent with Aspergillus. A brief review of the literature discusses the rarity, presentation, diagnosis, and management of primary intracerebral mycetomas.
Prabhakaran
Shyam
S
Department of Neurology and Neuroscience, New York Presbyterian Hospital-Weill Medical Center of Cornell University, USA.
Gutin
Philip H
PH
Holodny
Andrei
A
Raizer
Jeffrey J
JJ
D000368:Aged; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D020314:Central Nervous System Fungal Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D003937:Diagnosis, Differential; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008297:Male; D003904:Mitosporic Fungi / Q000187:drug effects / Q000302:isolation & purification; D009101:Multiple Myeloma / Q000150:complications; D008271:Mycetoma / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D009362:Neoplasm Metastasis / Q000473:pathology; D011471:Prostatic Neoplasms / Q000150:complications; D016896:Treatment Outcome
D000935:Antifungal Agents; D017964:Itraconazole; D000666:Amphotericin B
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