Meningeal carcinomatosis as the initial manifestation of a gallbladder adenocarcinoma associated with a Krukenberg tumor

Meningeal carcinomatosis as the initial manifestation of a gallbladder adenocarcinoma associated with a Krukenberg tumor

A case of malignant neoplasm is described in which the initial manifestations were mental dysfunction and meningeal irritation, mimicking chronic or subacute meningitis. Physical examination showed cranial nerve involvement and a pelvic tumor. There was progressive deterioration, and death occurred in 2 weeks. The autopsy revealed a gallbladder adenocarcinoma, meningeal carcinomatosis, and ovarian metastasis presenting as a Krukenberg tumor. The authors emphasize the importance of including meningeal carcinomatosis as a possibility in the differential diagnosis of non-characteristic clinical pictures, as well as the importance of the cerebrospinal fluid cytologic examination, repeated as needed, in order to confirm this diagnosis.

Saved in:
Bibliographic Details
Main Authors: Miyagui,Tizuko, Luchemback,Luciana, Teixeira,Graça Helena Maia do Canto, Azevedo,Kátia Martins Lopes de
Format: Digital revista
Language:English
Published: Faculdade de Medicina / Universidade de São Paulo - FM/USP 2003
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812003000300007
Tags: Add Tag
No Tags, Be the first to tag this record!
id oai:scielo:S0041-87812003000300007
record_format ojs
spelling oai:scielo:S0041-878120030003000072003-07-22Meningeal carcinomatosis as the initial manifestation of a gallbladder adenocarcinoma associated with a Krukenberg tumorMiyagui,TizukoLuchemback,LucianaTeixeira,Graça Helena Maia do CantoAzevedo,Kátia Martins Lopes de Ovarian neoplasms Gallbladder cancer Carcinomatosis Metastasis Meningitis A case of malignant neoplasm is described in which the initial manifestations were mental dysfunction and meningeal irritation, mimicking chronic or subacute meningitis. Physical examination showed cranial nerve involvement and a pelvic tumor. There was progressive deterioration, and death occurred in 2 weeks. The autopsy revealed a gallbladder adenocarcinoma, meningeal carcinomatosis, and ovarian metastasis presenting as a Krukenberg tumor. The authors emphasize the importance of including meningeal carcinomatosis as a possibility in the differential diagnosis of non-characteristic clinical pictures, as well as the importance of the cerebrospinal fluid cytologic examination, repeated as needed, in order to confirm this diagnosis.info:eu-repo/semantics/openAccessFaculdade de Medicina / Universidade de São Paulo - FM/USPRevista do Hospital das Clínicas v.58 n.3 20032003-01-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812003000300007en10.1590/S0041-87812003000300007
institution SCIELO
collection OJS
country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Miyagui,Tizuko
Luchemback,Luciana
Teixeira,Graça Helena Maia do Canto
Azevedo,Kátia Martins Lopes de
spellingShingle Miyagui,Tizuko
Luchemback,Luciana
Teixeira,Graça Helena Maia do Canto
Azevedo,Kátia Martins Lopes de
Meningeal carcinomatosis as the initial manifestation of a gallbladder adenocarcinoma associated with a Krukenberg tumor
author_facet Miyagui,Tizuko
Luchemback,Luciana
Teixeira,Graça Helena Maia do Canto
Azevedo,Kátia Martins Lopes de
author_sort Miyagui,Tizuko
title Meningeal carcinomatosis as the initial manifestation of a gallbladder adenocarcinoma associated with a Krukenberg tumor
title_short Meningeal carcinomatosis as the initial manifestation of a gallbladder adenocarcinoma associated with a Krukenberg tumor
title_full Meningeal carcinomatosis as the initial manifestation of a gallbladder adenocarcinoma associated with a Krukenberg tumor
title_fullStr Meningeal carcinomatosis as the initial manifestation of a gallbladder adenocarcinoma associated with a Krukenberg tumor
title_full_unstemmed Meningeal carcinomatosis as the initial manifestation of a gallbladder adenocarcinoma associated with a Krukenberg tumor
title_sort meningeal carcinomatosis as the initial manifestation of a gallbladder adenocarcinoma associated with a krukenberg tumor
description A case of malignant neoplasm is described in which the initial manifestations were mental dysfunction and meningeal irritation, mimicking chronic or subacute meningitis. Physical examination showed cranial nerve involvement and a pelvic tumor. There was progressive deterioration, and death occurred in 2 weeks. The autopsy revealed a gallbladder adenocarcinoma, meningeal carcinomatosis, and ovarian metastasis presenting as a Krukenberg tumor. The authors emphasize the importance of including meningeal carcinomatosis as a possibility in the differential diagnosis of non-characteristic clinical pictures, as well as the importance of the cerebrospinal fluid cytologic examination, repeated as needed, in order to confirm this diagnosis.
publisher Faculdade de Medicina / Universidade de São Paulo - FM/USP
publishDate 2003
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812003000300007
work_keys_str_mv AT miyaguitizuko meningealcarcinomatosisastheinitialmanifestationofagallbladderadenocarcinomaassociatedwithakrukenbergtumor
AT luchembackluciana meningealcarcinomatosisastheinitialmanifestationofagallbladderadenocarcinomaassociatedwithakrukenbergtumor
AT teixeiragracahelenamaiadocanto meningealcarcinomatosisastheinitialmanifestationofagallbladderadenocarcinomaassociatedwithakrukenbergtumor
AT azevedokatiamartinslopesde meningealcarcinomatosisastheinitialmanifestationofagallbladderadenocarcinomaassociatedwithakrukenbergtumor
_version_ 1756380802694774784

Similar Items