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KMID : 1104820150030020105
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Journal of Digestive Cancer Research
2015 Volume.3 No. 2 p.105 ~ p.107
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A Case of Pancreatic Cancer Recurred in Liver after Surgical Resection, in Complete Response after Chemotherapy and Tumorectomy
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Son Jun-Hyuk
Lee Jae-Woo
Jang Dong-Kee
Lee Sang-Hyub
Ryu Ji-Kon
Kim Yong-Tae
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Abstract
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Pancreatic cancer is commonly presented with distant metastasis. However metastasis to central nervous system (CNS) of pancreatic cancer was rarely reported. 79-years-old man was hospitalized with sudden onset right arm dysesthesia and weakness. In brain magnetic resonance imaging, multifocal high signal intensity lesions in cerebral and cerebellar cortices were observed. Leptomeningeal and parenchymal enhanced lesions were also noted in contrast-enhanced T1 images suggesting a metastasis from the pancreatic cancer. Stroke like manifestation of CNS metastasis of pancreatic cancer is extremely rare. Careful history taking and evaluation should be performed to find the origin of the sudden neurologic deficit.
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KEYWORD
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Pancreatic cancer, Stroke, Hemiparesis, Metastasis, Leptomeningeal neoplasm
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