Open Access

Carcinomatous meningitis from ovarian serous carcinoma:
A case report

  • Authors:
    • Eijiro Uchikura
    • Takeshi Fukuda
    • Kenji Imai
    • Makoto Yamauchi
    • Mari Kasai
    • Tomoyuki Ichimura
    • Tomoyo Yasui
    • Yuko Kuwae
    • Toshiyuki Sumi
  • View Affiliations

  • Published online on: December 23, 2022     https://doi.org/10.3892/ol.2022.13652
  • Article Number: 66
  • Copyright: © Uchikura et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Multifocal dissemination of cancer cells from the primary tumor sites to the subarachnoid, pia mater and cerebrospinal fluid (CSF) of the brain and spinal cord causes carcinomatous meningitis (CM). CM is rarely observed in patients with gynecological cancer. The present study described a 59‑year‑old woman who was diagnosed with CM as a recurrence of stage IIIC ovarian cancer, after presenting with headache and decreased level of consciousness. During adjuvant therapy following surgical debulking, she developed nausea and vomiting. The post‑contrast fluid‑attenuated inversion‑recovery magnetic resonance imaging showed leptomeningeal enhancement on all sulci, particularly around the falx cerebri and cerebellar hemisphere. CM was suspected and CSF cytology revealed adenocarcinoma cells, thus confirming the diagnosis. Overall, although CM is rare, clinicians should be aware of this complication when patients with malignancies experience neurological symptoms, including headache, nausea and vomiting. Knowledge of this clinical entity should assist clinicians in ascertaining accurate diagnoses.
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February-2023
Volume 25 Issue 2

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Spandidos Publications style
Uchikura E, Fukuda T, Imai K, Yamauchi M, Kasai M, Ichimura T, Yasui T, Kuwae Y and Sumi T: Carcinomatous meningitis from ovarian serous carcinoma: <br />A case report. Oncol Lett 25: 66, 2023
APA
Uchikura, E., Fukuda, T., Imai, K., Yamauchi, M., Kasai, M., Ichimura, T. ... Sumi, T. (2023). Carcinomatous meningitis from ovarian serous carcinoma: <br />A case report. Oncology Letters, 25, 66. https://doi.org/10.3892/ol.2022.13652
MLA
Uchikura, E., Fukuda, T., Imai, K., Yamauchi, M., Kasai, M., Ichimura, T., Yasui, T., Kuwae, Y., Sumi, T."Carcinomatous meningitis from ovarian serous carcinoma: <br />A case report". Oncology Letters 25.2 (2023): 66.
Chicago
Uchikura, E., Fukuda, T., Imai, K., Yamauchi, M., Kasai, M., Ichimura, T., Yasui, T., Kuwae, Y., Sumi, T."Carcinomatous meningitis from ovarian serous carcinoma: <br />A case report". Oncology Letters 25, no. 2 (2023): 66. https://doi.org/10.3892/ol.2022.13652