CASE PRESENTATION Mohammad Nazek,M.D
CLINICAL • 66 year old female • Presented with gait disturbance and dizziness • History of breast cancer 10 years ago
RADIOLOGY • MRI showed large cystic mass in right cerebellum.
MRI pre contrast
MRI post contrast
NSE
Inhibin
Keratin
Keratin
GATA 3
GATA 3
ER
Mammoglobulin
DIAGNOSIS • Metastatic breast carcinoma into capillary hemangioblastoma of cerebellum.
Tumor to tumor metastasis of CNS • Rare phenomenon • Meningioma is the most common recipient: Breast Lung Kidney
CONTINUED • 114 METS TO MENIGIOMA • 16 METS TO GLIOMA • 7 METS TO HEMANGIOBLASTOMA: 6 FROM RENAL CELL CARCINOMA 1 FROM PANCREAS
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