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Case Reports
. 2018 Nov 28;11(1):e225458.
doi: 10.1136/bcr-2018-225458.

Hiding in plain sight: a brain lesion in a patient with a history of colon and breast cancer

Dominic Eze  1 , Kathryn Hollis  1 , Mohamed H Ahmed  2 , Victoria Alner  3
Affiliations
Case Reports

Hiding in plain sight: a brain lesion in a patient with a history of colon and breast cancer

Dominic Eze et al. BMJ Case Rep. .

Abstract

We present a case of a 76-year-old woman who was admitted to our hospital with a low Glasgow Coma Scale score. She had a medical history of breast and colon cancer. The CT scan showed possible diagnosis of brain metastasis. However, the MRI scan showed this to be a completely different diagnosis.

Keywords: geriatric medicine; neuroimaging.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
CT head without contrast.
Figure 2
Figure 2
CT head with contrast showing presence of enhanced lesion.
Figure 3
Figure 3
MRI head T1 before treatment with steroid.
Figure 4
Figure 4
MRI head susceptibility diffuse image before treatment with steroid.
Figure 5
Figure 5
MRI head susceptibility diffuse image before treatment with steroid.
Figure 6
Figure 6
MRI head susceptibility diffuse image after treatment with steroid.
Figure 7
Figure 7
MRI head T2 before treatment with steroid showing presence of cerebral amyloidomas (CA) and cerebral amyloid angiopathy.
Figure 8
Figure 8
MRI head T2 after treatment with steroid showing almost complete resolution of cerebral amyloidomas (CA) and cerebral amyloid angiopathy (CAA) after treatment with prednisolone for 17 days.
See this image and copyright information in PMC

References

    1. Lu-Emerson C, Eichler AF. Brain metastases. 18 Minneap Minn: Continuum, 2012:295–311. - PubMed
    1. Edwards B, Clarke V. The psychological impact of a cancer diagnosis on families: the influence of family functioning and patients' illness characteristics on depression and anxiety. Psychooncology 2004;13:562–76. 10.1002/pon.773 - DOI - PubMed
    1. Fang F, Fall K, Mittleman MA, et al. . Suicide and cardiovascular death after a cancer diagnosis. N Engl J Med 2012;366:1310–8. 10.1056/NEJMoa1110307 - DOI - PubMed
    1. Miller-Thomas MM, Sipe AL, Benzinger TL, et al. . Multimodality review of amyloid-related diseases of the central nervous system. Radiographics 2016;36:1147–63. 10.1148/rg.2016150172 - DOI - PMC - PubMed
    1. Landau D, Avgeropoulos N, Ma J. Cerebral amyloidoma mimicking intracranial tumor: a case report. J Med Case Rep 2010;4:308 10.1186/1752-1947-4-308 - DOI - PMC - PubMed

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