Ovarian serous carcinoma metastasis to the ventricular system: exceptional location report

Document Type : Case Reports

Authors

1 Department of anesthesiology, Monastir University hospital, Tunisia

2 Department of neurosurgery, Monastir University Hospital, Tunisia

3 Department of neurosurgery, Faculty of medecine of Monastir, University of Monastir, Monastir, Tunisia

4 Department of neurosurgery, Faculty of medecine of Tunis, University Tunis Manar 1, Tunis , Tunisia

Abstract

Background:
Serous carcinoma is the most prevalent form of ovarian cancer, extensively studied and reviewed. Despite the significant research, this aggressive gynecologic neoplasm continues to have a high fatality rate. Dissemination to the brain is rare. Metastases to the cerebellum are the most common, whereas the occurrence of intra ventricular metastasis remains unreported to the best of our knowledge.
Case description:
We present a compelling case study involving a 48-year-old female patient who had a previous medical history of ovarian cancer, treated with bilateral salpingo-oophorectomy and adjuvant chemotherapy. Remarkably, 48 months following her initial treatment, she developed an intraventricular metastasis. Imaging revealed the presence of a multi lobulated mass within the left occipital horn. Despite undergoing a radical surgical resection, her clinical course remained highly aggressive, highlighting the challenging nature of this particular case.
Conclusion:
Radical surgical resection emerges as the most relevant treatment option for patients with unique metastasis to the ventricular system. This case contributes to the existing body of literature concerning the unfavorable prognosis associated with serous ovarian carcinoma, further emphasizing the importance of early detection and diagnosis awareness.

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