Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Apr;2(2):98-101.
doi: 10.4103/2278-330X.110509.

A systematic approach to diagnosis of cystic brain lesions

Vibhor Sharma  1 , Kumar Prabhash  1 , Vanita Noronha  1 , Nidhi Tandon  1 , Amit Joshi  1
Affiliations

A systematic approach to diagnosis of cystic brain lesions

Vibhor Sharma et al. South Asian J Cancer. 2013 Apr.

Abstract

Brain metastasis is the most common intracranial tumor in adults. The incidence of brain metastasis is rising with the increase in survival of cancer patients. Magnetic resonance imaging with contrast enhancement is the imaging procedure of choice to diagnose and characterize brain metastases. Multiple lesions with marked vasogenic edema and mass effect are typically seen in patients with brain metastases. The classical appearance of a metastasis is a solid enhancing mass with well-defined margins and extensive edema. Occasionally, central necrosis produces a ring enhancing mass. Here, we report a case of Non Small Cell Lung Cancer with multiple ring enhancing lesions in brain, and the approach to diagnosis of such patients.

Keywords: Cystic brain metastases; magnetic resonance imaging; neurocysticercosis.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
T1w post gad axial contrast enhanced magnetic resonance (CEMR) multiple ring and disc enhancing lesions noted in the bilateral cerebral and cerebellar hemispheres with surrounding perilesional edema
Figure 2
Figure 2
T1w post gad axial – contrast enhanced magnetic resonance (CEMR) – multiple ring and disc like enhancing lesions noted in the bilateral cerebral hemisphere with surrounding perilesional edema
Figure 3
Figure 3
T1w post gad axial – contrast enhanced magnetic resonance (CEMR) – multiple ring and disc like enhancing lesion noted in the bilateral cerebral hemisphere with surrounding perilesional edema
Figure 4
Figure 4
Post Whole Brain Radiotherapy (WBRT) Non Contrast Computerized Tomography (NCCT) head dated 18/10/12 showing mild dilatation of the ventricular system. Multiple enhancing nodules and perilesional edema seen in both cerebral and cerebellar hemispheres on the previous magnetic resonance imaging scan appears to have completely regressed
See this image and copyright information in PMC

References

    1. Norden AD, Wen PY, Kesari S. Brain metastases. Curr Opin Neurol. 2005;18:654–661. - PubMed
    1. Posner JB. Neurologic Complications of Cancer. Vol. 37. Philadelphia: Davis FA; 1995. Paraneoplastic Syndromes; p. 311.
    1. Burger PC, Scheithauer BW. Washington: American Registry of Pathology; 2007. Tumors of the Central Nervous System. Atlas of Tumor Pathology.
    1. Colli BO, Carlotti CG, Jr, Assirati JA, Jr, Machado HR, Valença M, Amato MC. Surgical treatment of cerebral cysticercosis: Long-term results and prognostic factors. Neurosurg Focus. 2002;12:e3. - PubMed
    1. Osborn AG, Preece MT. Intracranial cysts: Radiologic-pathologic correlation and imaging approach. Radiology. 2006;239:650–64. - PubMed