TY - JOUR
T1 - Meningeal carcinomatosis as the first manifestation of a transitional cell carcinoma of the bladder
AU - Bruna Escuer, Jordi
AU - Rojas-Marcos, Íñigo
AU - Martínez-Yelamos, Sergio
AU - Català, Isabel
AU - Villader, Antonio
AU - Galán, Carmen
AU - Krupinski, Jurek
AU - Rubio, Francisco
PY - 2003/5/1
Y1 - 2003/5/1
N2 - Meningeal carcinomatosis (MC) as first manifestation of a transitional cell carcinoma (TCC) of the bladder is rare. We report a 66-year-old man, smoker, who presented with two episodes of secondarily generalized partial motor seizures. The routine blood test, brain computed tomography (CT) scan, brain magnetic resonance imaging and electroencephalogram were normal. Cerebral spinal fluid (CSF) revealed a significant pleocytosis and a morphology compatible with non-differentiated non-small cell carcinoma. Broncofiberscopy, gastrofiberscopy, thoracicoabdominopelvic CT-scan and bone scintigraphy were normal but the urine cytology revealed malignant cells similar to those found in the CSF. TCC was diagnosed by cystoscopy and later necropsy confirmed the MC of this tumor. In this report we review the literature and analyze patient survival.
AB - Meningeal carcinomatosis (MC) as first manifestation of a transitional cell carcinoma (TCC) of the bladder is rare. We report a 66-year-old man, smoker, who presented with two episodes of secondarily generalized partial motor seizures. The routine blood test, brain computed tomography (CT) scan, brain magnetic resonance imaging and electroencephalogram were normal. Cerebral spinal fluid (CSF) revealed a significant pleocytosis and a morphology compatible with non-differentiated non-small cell carcinoma. Broncofiberscopy, gastrofiberscopy, thoracicoabdominopelvic CT-scan and bone scintigraphy were normal but the urine cytology revealed malignant cells similar to those found in the CSF. TCC was diagnosed by cystoscopy and later necropsy confirmed the MC of this tumor. In this report we review the literature and analyze patient survival.
KW - Bladder tumor
KW - CSF cytology
KW - Meningeal carcinomatosis
KW - Seizures
KW - Transitional cell carcinoma
KW - Urine cytology
U2 - 10.1023/A:1023781604980
DO - 10.1023/A:1023781604980
M3 - Article
SN - 0167-594X
VL - 63
SP - 63
EP - 67
JO - Journal of Neuro-Oncology
JF - Journal of Neuro-Oncology
IS - 1
ER -