A case of metastatic adenocarcinoma of the prostate arising in a meningioma

Authors

  • Devin Pugsley Division of Medical Oncology, Queen Elizabeth II Health Sciences Centre, Halifax, NS
  • Greg Bailly Division of Medical Oncology, and the Department Urology, Queen Elizabeth II Health Sciences Centre, Halifax, NS
  • Rekha Gupta Division of Medical Oncology, and the Department of Anatomical Pathology & Laboratory Medicine, Queen Elizabeth II Health Sciences Centre, Halifax, NS
  • Derek Wilke Division of Medical Oncology, and the Department of Radiation Oncology, Queen Elizabeth II Health Sciences Centre, Halifax, NS
  • Lori Wood Division of Medical Oncology, Queen Elizabeth II Health Sciences Centre, Halifax, NS

DOI:

https://doi.org/10.5489/cuaj.1088

Abstract

We present the case of a 70-year-old man who had a prostate adenocarcinoma
that metastatized to a previously unknown cranial
meningioma. Central nervous system (CNS) metastases are very
uncommon in patients with prostate cancer, and metastases to
pre-existing primary CNS tumours are even more uncommon. Rare
events like this can cause diagnostic uncertainty, as shown by this
case. This case is a reminder for clinicians to consider prostate
metastases in patients with known prostate carcinoma and focal
neurological symptoms.

Nous décrivons le cas d'un homme de 70 ans présentant un adénocarcinome
métastatique de la prostate secondaire à un méningiome
intra-crânien non diagnostiqué auparavant. Les métastases
au niveau du SNC sont très rares chez les patients atteints de cancer
de la prostate et les métastases sont encore plus rares dans
le cas de tumeurs primitives pré-existantes au niveau du SNC.
La rareté de ces cas peut soulever des incertitudes au niveau du
diagnostic, comme nous le montrerons. Ce cas permet de rappeler
aux cliniciens d'envisager la possibilité de métastases chez
les patients atteints d'un carcinome prostatique confirmé et présentant
des signes neurologiques focaux.

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Author Biographies

Devin Pugsley, Division of Medical Oncology, Queen Elizabeth II Health Sciences Centre, Halifax, NS

Greg Bailly, Division of Medical Oncology, and the Department Urology, Queen Elizabeth II Health Sciences Centre, Halifax, NS

Rekha Gupta, Division of Medical Oncology, and the Department of Anatomical Pathology & Laboratory Medicine, Queen Elizabeth II Health Sciences Centre, Halifax, NS

Derek Wilke, Division of Medical Oncology, and the Department of Radiation Oncology, Queen Elizabeth II Health Sciences Centre, Halifax, NS

Lori Wood, Division of Medical Oncology, Queen Elizabeth II Health Sciences Centre, Halifax, NS

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How to Cite

Pugsley, D., Bailly, G., Gupta, R., Wilke, D., & Wood, L. (2013). A case of metastatic adenocarcinoma of the prostate arising in a meningioma. Canadian Urological Association Journal, 3(3), E4-E6. https://doi.org/10.5489/cuaj.1088

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Section

Case Report