Solitary CNS Metastasis on Initial Presentation of High Grade Serous Carcinoma of the Fallopian Tube

Abstract EN

A 68-year-old woman presented with a three-week history of confusion and anomic aphasia.

Imaging of her head demonstrated a single large left frontal mass.

Pathology revealed metastatic adenocarcinoma of Müllerian origin.

Subsequent surgery revealed a small primary site in a fallopian tube, high left para-aortic lymphadenopathy, and no disseminated intraperitoneal disease.

This case was remarkable in that CNS metastasis was her presenting symptom and was restricted to a solitary brain lesion, and other disease sites were limited to retroperitoneal lymphadenopathy and a small fallopian tube primary.