Late Isolated Central Nervous System Relapse from Ovarian Serous Adenocarcinoma: A Case Report and Literature Review

Abstract EN

Central nervous system involvement by ovarian serous adenocarcinoma is rare.

We report a case of a 60-year-old woman that developed brain metastasis as isolated site of relapse 4.5 years after a complete resection and adjuvant chemotherapy for a stage Ic disease.

She proceeded to a craniotomy with resection of the lesion and, subsequently, to a whole brain radiotherapy.

Nineteen months later, she developed carcinomatous meningitis as isolated site of recurrence.

Patient was submitted to intrathecal chemotherapy with methotrexate; however, she died from progressive neurologic involvement disease few weeks later.