Widespread subdural metastasis from breast cancer progressing rapidly with cerebral herniation: A case report

Okita,Yoshiko; Masuda,Norikazu; Mizutani,Makiko; Kodama,Yoshinori; Mori,Kiyoshi; Mano,Masayuki; Nakagawa,Tomoyoshi; Nakajima,Shin; Fujinaka,Toshiyuki

doi:10.3892/mco.2017.1233

June-2017 Volume 6 Issue 6

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June-2017 Volume 6 Issue 6

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Case Report

Widespread subdural metastasis from breast cancer progressing rapidly with cerebral herniation: A case report

Authors:
- Yoshiko Okita
- Norikazu Masuda
- Makiko Mizutani
- Yoshinori Kodama
- Kiyoshi Mori
- Masayuki Mano
- Tomoyoshi Nakagawa
- Shin Nakajima
- Toshiyuki Fujinaka
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Affiliations: Department of Neurosurgery, National Hospital Organization Osaka National Hospital, Osaka 540‑0006, Japan, Department of Surgery, Breast Oncology, National Hospital Organization Osaka National Hospital, Osaka 540‑0006, Japan, Department of Central Laboratory and Surgical Pathology, National Hospital Organization Osaka National Hospital, Osaka 540‑0006, Japan
Pages: 960-962
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Published online on: April 28, 2017

https://doi.org/10.3892/mco.2017.1233
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Abstract

We herein present the case of a 49‑year‑old female patient presenting with nausea and headache. The patient's medical history included breast cancer with bone and lymph node metastasis. Computed tomography (CT) examination revealed a high‑density lesion in the right subdural space, suggesting hematoma. During surgery planned for subdural hematoma drainage, an en plaque subdural yellowish‑white tumor was identified, without hematoma. Histopathological examination revealed metastatic breast cancer. The patient was administered predonisolone and her neurological symptoms gradually recovered. However, 12 days after the first operation, the clinical course was complicated by vomiting and rapid loss of consciousness. Emergency CT revealed that the subdural tumor had enlarged and decompression was performed as life‑saving surgery. However, the patient's condition progressively deteriorated and she finally succumbed to the disease 2 months after the second operation. The aim of this study was to present the case of a patient with a large en plaque subdural tumor mimicking subdural hematoma and causing rapid loss of consciousness and cerebral herniation.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Widespread subdural metastasis from breast cancer progressing rapidly with cerebral herniation: A case report

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