Solitary Brain Metastasis: A Rare Initial Presentation of Prostate Carcinoma
Cerebral metastasis as an initial clinical presentation of prostate carcinoma is extremely rare. Usually, patients have widespread metastasis in the body before presenting with brain metastasis. In the absence of extensive metastasis, especially without bony metastasis, only brain metastasis is an u...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2019-06, Vol.11 (6), p.e4804 |
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| creator | Hafiz, Asim Karim, Muneeb Uddin Qureshi, Bilal M Jabbar, Adnan A Ahmad, Zubair |
| description | Cerebral metastasis as an initial clinical presentation of prostate carcinoma is extremely rare. Usually, patients have widespread metastasis in the body before presenting with brain metastasis. In the absence of extensive metastasis, especially without bony metastasis, only brain metastasis is an unusual presentation of the disease. We report a case of a 59-years-old patient who presented with a lack of concentration and decreased vision. Magnetic resonance imaging (MRI) of the brain revealed a large right parietal-occipital space-occupying lesion. He underwent surgery and the pathological diagnosis of the tumor turned out to be metastatic prostate carcinoma. Further evaluation by a whole-body computed tomography (CT) scan revealed an enlarged prostate with no other metastatic deposit and a mildly raised level of prostate-specific antigen (PSA). It was possible for us to provide this patient with multi-modality treatment with the help of multidisciplinary tumor board meetings. Further studies addressing the biological as well as clinical characteristics of prostate carcinoma with this rare metastatic presentation will help us to define prognostic factors and therapeutic intervention and will help us to understand the basis of this unique presentation without bone metastasis. |
| doi_str_mv | 10.7759/cureus.4804 |
| format | Article |
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Usually, patients have widespread metastasis in the body before presenting with brain metastasis. In the absence of extensive metastasis, especially without bony metastasis, only brain metastasis is an unusual presentation of the disease. We report a case of a 59-years-old patient who presented with a lack of concentration and decreased vision. Magnetic resonance imaging (MRI) of the brain revealed a large right parietal-occipital space-occupying lesion. He underwent surgery and the pathological diagnosis of the tumor turned out to be metastatic prostate carcinoma. Further evaluation by a whole-body computed tomography (CT) scan revealed an enlarged prostate with no other metastatic deposit and a mildly raised level of prostate-specific antigen (PSA). It was possible for us to provide this patient with multi-modality treatment with the help of multidisciplinary tumor board meetings. Further studies addressing the biological as well as clinical characteristics of prostate carcinoma with this rare metastatic presentation will help us to define prognostic factors and therapeutic intervention and will help us to understand the basis of this unique presentation without bone metastasis.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.4804</identifier><identifier>PMID: 31403005</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Abdomen ; Androgens ; Antigens ; Brain cancer ; Cancer therapies ; Case reports ; Histopathology ; Lymphatic system ; Medical prognosis ; Metastasis ; Neurosurgery ; NMR ; Nuclear magnetic resonance ; Oncology ; Patients ; Prostate cancer ; Radiation Oncology ; Radiation therapy</subject><ispartof>Curēus (Palo Alto, CA), 2019-06, Vol.11 (6), p.e4804</ispartof><rights>Copyright © 2019, Hafiz et al. 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Further studies addressing the biological as well as clinical characteristics of prostate carcinoma with this rare metastatic presentation will help us to define prognostic factors and therapeutic intervention and will help us to understand the basis of this unique presentation without bone metastasis.</description><subject>Abdomen</subject><subject>Androgens</subject><subject>Antigens</subject><subject>Brain cancer</subject><subject>Cancer therapies</subject><subject>Case reports</subject><subject>Histopathology</subject><subject>Lymphatic system</subject><subject>Medical prognosis</subject><subject>Metastasis</subject><subject>Neurosurgery</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Oncology</subject><subject>Patients</subject><subject>Prostate cancer</subject><subject>Radiation Oncology</subject><subject>Radiation therapy</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpVkEtLAzEUhYMottSu3EvApUy9SeaRcSHU4qNQUXysw52ZjKa0k5rMCP57U1pLhQu5IR8n5xxCThmMsizJL8vO6c6PYgnxAelzlspIMhkf7u09MvR-DgAMMg4ZHJOeYDEIgKRPZq92YVp0P_TGoWnoo27RhzH-io7pCzpNp41pDS7os9NeNy22xjbU1uFuA9lqOkFXmsYu8YQc1bjwerg9B-T97vZt8hDNnu6nk_EsKgWkbSQxE8hZkdU1CJ0UrCqFEFnFMI2hSgAL0EUW81JWlSiTHJkGXgXnwATP00oMyPVGd9UVS12VwZXDhVo5swxJlEWj_r805lN92G-VppKLHILA-VbA2a9O-1bNbeea4FlxLgWHHGIWqIsNVYak3ul69wMDtW5fbdpX6_YDfbZvasf-dS1-ASNbgW8</recordid><startdate>20190602</startdate><enddate>20190602</enddate><creator>Hafiz, Asim</creator><creator>Karim, Muneeb Uddin</creator><creator>Qureshi, Bilal M</creator><creator>Jabbar, Adnan A</creator><creator>Ahmad, Zubair</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20190602</creationdate><title>Solitary Brain Metastasis: A Rare Initial Presentation of Prostate Carcinoma</title><author>Hafiz, Asim ; 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Usually, patients have widespread metastasis in the body before presenting with brain metastasis. In the absence of extensive metastasis, especially without bony metastasis, only brain metastasis is an unusual presentation of the disease. We report a case of a 59-years-old patient who presented with a lack of concentration and decreased vision. Magnetic resonance imaging (MRI) of the brain revealed a large right parietal-occipital space-occupying lesion. He underwent surgery and the pathological diagnosis of the tumor turned out to be metastatic prostate carcinoma. Further evaluation by a whole-body computed tomography (CT) scan revealed an enlarged prostate with no other metastatic deposit and a mildly raised level of prostate-specific antigen (PSA). It was possible for us to provide this patient with multi-modality treatment with the help of multidisciplinary tumor board meetings. 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| subjects | Abdomen Androgens Antigens Brain cancer Cancer therapies Case reports Histopathology Lymphatic system Medical prognosis Metastasis Neurosurgery NMR Nuclear magnetic resonance Oncology Patients Prostate cancer Radiation Oncology Radiation therapy |
| title | Solitary Brain Metastasis: A Rare Initial Presentation of Prostate Carcinoma |
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