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Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2016; 35(02): 148-151
DOI: 10.1055/s-0036-1583936
Case Report | Relato de Caso
Thieme Publicações Ltda Rio de Janeiro, Brazil

Cerebellar Single Metastases from Bladder Transitional Cell Carcinoma: A Case Report

Metástase cerebelar única secundária a câncer de celulas transicionais de bexiga: relato de caso
Paulo Valdeci Worm
1   Graduate Program in Medicine: Surgical Sciences. Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
2   Neurosurgery Department, Cristo Redentor Hospital, Porto Alegre RS, Brazil
4   Department of Neurological Surgery, São Jose Hospital, Santa Casa Hospital Complex, Porto Alegre, RS, Brazil
,
Guilherme Finger
2   Neurosurgery Department, Cristo Redentor Hospital, Porto Alegre RS, Brazil
,
Renan Desimon Cabral
3   Urology Department, Hospital de Clinicas de Porto Alegre, Porto Alegre, RS, Brazil
,
Jorge Luiz Kraemer
4   Department of Neurological Surgery, São Jose Hospital, Santa Casa Hospital Complex, Porto Alegre, RS, Brazil
› Author Affiliations
Further Information

Publication History

11 October 2015

27 March 2016

Publication Date:
04 May 2016 (online)

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Abstract

Cerebral metastasis is the most common cancer in the Central Nervous System (CNS); however, the bladder is a rare primary origin. The incidence of bladder metastases to the brain tissue has slightly increased in the past decades, with a few case reports published in medical literature, but not in Brazil. The authors describe a case of a female with prior diagnosis and treatment of transitional cellular cancer, without signs or symptoms of local or disseminated relapse, who suddenly developed clinical signs of cerebellum impairment. The patient was submitted to neurosurgical procedure with good outcome, followed by oncologic adjuvant treatment.

Resumo

As metástases cerebrais são as patologias neoplásicas mais comuns no sistema nervoso central (SNC), contudo, o epitélio vesical é um sitio primário raro para os tumores que acometem o parênquima cerebral. A incidência do envolvimento cerebral em tumores de bexiga tem aumentado nos últimos anos, com alguns relatos de caso descritos na literatura médica, contudo nenhum caso foi descrito no Brasil. Os autores relatam o caso de uma paciente com diagnóstico de câncer de células transicionais cujo sítio primário já fora tratado previamente, sem sinais de recidiva local ou à distância, que subitamente iniciou com sinais clínicos de síndrome cerebelar. A paciente foi submetida a ressecção cirúrgica da lesão com boa evolução pós-operatória complementada com terapia oncológica adjuvante.

Keywords

urothelial carcinoma - cerebral metastases - transitional cell carcinoma

Palavras-chave

carcinoma urotelial - metástase cerebral - carcinoma de células transicionais
 

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