Carcinomatous pachymeningitis secondary to leg ewing sarcoma: an unusual metastatic site
Author(s): Abboud Fatima Zahra, Chebihi Hassani Ghita, Ait Erraisse Mohamed, Youssoufi Moulay Ali, Bouhafa Touria, Hassouni Khalid
Introduction: We report here a case of carcinomatous pachymeningitis in a patient followed for EWING'S SARCOMA (ES) of the leg. Methods: A 17-year-old patient followed for leg Ewing's sarcoma undergoing neoadjuvant chemotherapy who presents for the management of acute and atrocious headaches of rapidly progressive onset. He had a brain MRI that showed carcinomatous pachymeningitis, the diagnosis is confirmed by a lumbar puncture of the CEREBROSPINAL FLUID (CSF) that showed the presence of cancer cells related to Ewing's sarcoma. Results: The patient was proposed for chemotherapy and craniospinal irradiation (CSI), but he died before starting his treatment. Conclusions: Carcinomatous pachymeningitis in Ewing's sarcoma is an unusual metastatic localization and its prognosis is pejorative.
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Submitted PhD thesis in Biotechnology at GITAM University, Vizag.
The Past Head, General Administration of Pharmaceutical Care at Ministry of Health,
Saudi Arabia Critical Care/TPN
Clinical Pharmacist Ministry of Health,
Riyadh, Saudi Arabia.
Department of Radiation Oncology
Asahi University Hospital
Gifu city, Gifu, Japan
Maher Abdel Fattah Al-Shayeb
Department of Surgical Sciences, Ajman University, UAE
Institute of Gynecology and Obstetrics, Medical University of Lodz, I Clinic of Gynecology and Gynecological Oncology (Lodz, Poland)
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