Leptomeningeal Carcinomatosis
- PMID: 29763037
- Bookshelf ID: NBK499862
Leptomeningeal Carcinomatosis
Excerpt
Leptomeningeal carcinomatosis(LC), also known as "leptomeningeal metastasis" or "carcinomatosis meningitis," is involvement by cancer of the pia and arachnoid mater of the brain with the subarachnoid space in between. It was first described in the late 19th century, and many studies have been carried out on the subject in recent years. Studies have shown that both solid tumors, including brain tumors and hematological cancers, can metastasize to involve the leptomeninges. It is an uncommon and late complication seen in 5% to 8% of cases of solid tumors and 5% to 15% of cases of hematological cancers. Additionally, it implies a poor prognosis and limited treatment options.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Surgical Oncology
- Radiation Oncology
- Medical Oncology
- Staging
- Prognosis
- Complications
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Lasocki A, Phillips KA, Drummond K, Caspersz L. Unexpected diagnosis of spinal leptomeningeal metastatic disease on MRI myelography. J Clin Neurosci. 2019 Aug;66:259-261. - PubMed
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- Ko Y, Gwak HS, Park EY, Joo J, Lee YJ, Lee SH, Kwon JW, Shin SH, Yoo H. Association of MRI findings with clinical characteristics and prognosis in patients with leptomeningeal carcinomatosis from non-small cell lung cancer. J Neurooncol. 2019 Jul;143(3):553-562. - PubMed
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- Crombé A, Cazeau AL, Cousin S, Chomy F, Bacci J, Kind M. Diffuse cortical hypermetabolism of the cerebellum in meningeal carcinomatosis: Assessment with 18F-FDG-PET/CT and MRI. Diagn Interv Imaging. 2019 Dec;100(12):821-823. - PubMed
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- Watanabe A, Onishi M, Tsunoda K, Amano H. Meningeal Carcinomatosis in Advanced Extramammary Paget's Disease: A Case Report. Acta Derm Venereol. 2019 Jul 01;99(9):826-827. - PubMed
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