title: Brain metastasis as an initial manifestation of a gallbladder carcinoma.
abstract: Though autopsy studies demonstrated 5% metastasis to the brain, clinical presentation of a central nervous system metastasis from gallbladder cancer is rare. We report a case of a 72-year-old woman who initially presented with a solitary brain metastasis from an adenocarcinoma of the gallbladder, which was diagnosed pre-operatively as glioblastoma multiforme. This is the second of such a case in the English literature. We emphasize the importance of including metastasis in the differential diagnosis of single intracranial tumor for proper planning of patient management.
authors.affiliation: Division of Hematology-Oncology, Department of Medicine, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Joel R
authors.initials: JR
authors.lastname: Tayo
authors.forename: Huda
authors.initials: H
authors.lastname: Al-Abdulkarim
authors.forename: Molham
authors.initials: M
authors.lastname: Al-Rayess