Metastatic Brain Tumor in the Cerebellopontine Angle from Gastric Cancer: A Case Report

Author:

Uchimura Masahiro1,Kambara Mizuki1,Hayashi Kentaro2,Takigawa Haruo3,Anno Yuichi3,Akiyama Yasuhiko1

Affiliation:

1. Department of Neurosurgery, Shimane University Faculty of Medicine, Shimane, Japan

2. Department of Advanced Stroke Center, Shimane University Faculty of Medicine, Shimane, Japan

3. Department of Neurosurgery, Matsue City Hospital, Matsue, Shimane, Japan

Abstract

AbstractCerebellopontine angle (CPA) tumors are a common type of benign tumors, which are similar to vestibular schwannomas; however, the incidence of CPA metastasis is rare. Moreover, brain metastasis from gastric tumors is a rare occurrence, with an incidence of less than 1% in clinical cases. In this study, we report the case of a 71-year-old man who was admitted to our hospital with symptoms of nausea and gait instability for the past 1 week. He had no remarkable medical history. Magnetic resonance imaging revealed a tumor in the left CPA. Intraoperative diagnosis indicated the presence of metastatic papillary carcinoma. Postoperatively, gastric endoscopy revealed a protruding mass on the cardia of the stomach, which was histopathologically similar to that of the resected brain tumor. The patient underwent adjuvant cyberknife radiotherapy and chemotherapy. A prompt biopsy of the brain tumor is essential if any findings suggest malignancy.

Publisher

Georg Thieme Verlag KG

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