Cerebellar metastasis of cervical adenocarcinoma : a case report

Publication Date

2018

Document Type

Research

Abstract

Brain metastasis from a cervical focus is a rare occurrence. It is commonly associated with disseminated disease and predisposed by lung invasion. Commonly, cervical cancers spread by local extension and to the retroperitoneal lymph nodes. Locally, it can spread to the upper vagina and other the adjacent organs such as pelvic sidewall, bladder, and rectum. It also spread through the lymphatic vessels by travelling to the pelvic and para-aortic lymph nodes. Metastases to distal organs travel hematogenously. Most often it spreads to the lung, supraclavicular lymph nodes, liver, and bones. This report focuses on the case of a 46 year old female. known to have stage II cervical cancer, underwent 3 cycles of brachytherapy and 6 cycles of chemotherapy. Her clinical presentation included episodes of dizziness, disturbances in balance, difficulty in ambulation, and vomiting. We aim to increase awareness regarding intracranial metastasis of cervical cancers and increase index of suspicion of clinicians in early detection of such cases.

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