title: Cerebellar metastasis from pancreatic adenocarcinoma. A case report.
abstract: The first discovery of a cerebellar metastasis of pancreatic carcinoma in a living patient is described. Two years earlier the patient had undergone a pancreaticoduodenectomy for an adenocarcinoma of the head of the pancreas with a lymph node metastasis. After complete surgical removal of the tumor, he underwent adjuvant chemoradiation. Two years later the patient presented with intractable vomiting, which was attributed to peritoneal carcinomatosis. Clinical evaluation revealed an intracranial tumor without signs of pancreatic recurrence. The tumor was surgically removed. One year later the patient developed multiple brain metastases and he is currently undergoing gemcitabine-based chemotherapy.
authors.affiliation: Department of General Surgery, Campus Bio-Medico University, Rome, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Caricato
authors.forename: Domenico
authors.initials: D
authors.lastname: Borzomati
authors.forename: Fabio
authors.initials: F
authors.lastname: Ausania
authors.forename: Andrea
authors.initials: A
authors.lastname: Garberini
authors.forename: Carla
authors.initials: C
authors.lastname: Rabitti
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Tonini
authors.forename: Roberto
authors.initials: R
authors.lastname: Coppola
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery; D000368:Aged; D000964:Antimetabolites, Antineoplastic / Q000627:therapeutic use; D002528:Cerebellar Neoplasms / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000556:secondary*; D003841:Deoxycytidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000473:pathology* / Q000601:surgery; D016577:Pancreaticoduodenectomy; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D000093542:Gemcitabine
chemical_list: D000964:Antimetabolites, Antineoplastic; D003841:Deoxycytidine; D000093542:Gemcitabine