Meningeal carcinomatosis from cervical cancer: a case report and review of the literature.
Meningeal carcinomatosis (MC) from cervical cancer is rare. Diagnosis of this disease is often delayed due to variable presentation. We report an interesting case of MC from the uterine cervix and review general diagnostic and treatment considerations. The patient received chemotherapy and radiotherapy for stage IIB cervical cancer with resolution of symptoms for 3 years. Metastatic lesions were found in the right lung and paraaotic nodes on follow-up positron emission tomography scan, which completely resolved with subsequent chemotherapy. Unfortunately, the patient developed neurological symptoms consistent with MC, which was confirmed by cerebrospinal fluid cytology. Because of her poor cognition, available options were discussed with her family. She died peacefully in palliative care.
Devkota
Bishnu
B
Saint Louis University, Saint Louis, MO, USA. bdevkota@slu.edu
Patel
Harnish
H
D000368:Aged; D005260:Female; D006801:Humans; D055756:Meningeal Carcinomatosis / Q000556:secondary* / Q000628:therapy; D018307:Neoplasms, Squamous Cell / Q000473:pathology / Q000556:secondary*; D002583:Uterine Cervical Neoplasms / Q000473:pathology*