Ovarian serous carcinoma metastasis to the ventricular system: exceptional location report

Mili, Emna; Maamri, Kais; Souei, Zohra; Hadj Taeb, Mohamed Amine; Trifa, Amine; Elkahla, Ghassen; Rkhami, Mouna; Dermoul, Mehdi

doi:10.21608/pajn.2023.211827.1095

	Ovarian serous carcinoma metastasis to the ventricular system: exceptional location report
Pan Arab Journal of Neurosurgery
Article 11, Volume 19, Issue 1, June 2024, Page 71-75 PDF (1.06 MB)
Document Type: Case Reports
DOI: 10.21608/pajn.2023.211827.1095
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Authors
Emna Mili¹; Kais Maamri ²; Zohra Souei³; Mohamed Amine Hadj Taeb²; Amine Trifa²; Ghassen Elkahla⁴; Mouna Rkhami⁵; Mehdi Dermoul²
¹Department of anesthesiology, Monastir University hospital, Tunisia
²Department of neurosurgery, Monastir University Hospital, Tunisia
³Department of neurosurgery, Monastir University Hospital, Tunisia
⁴Department of neurosurgery, Faculty of medecine of Monastir, University of Monastir, Monastir, Tunisia
⁵Department of neurosurgery, Faculty of medecine of Tunis, University Tunis Manar 1, Tunis , Tunisia
Abstract
Background: Serous carcinoma is the most prevalent form of ovarian cancer, extensively studied and reviewed. Despite the significant research, this aggressive gynecologic neoplasm continues to have a high fatality rate. Dissemination to the brain is rare. Metastases to the cerebellum are the most common, whereas the occurrence of intra ventricular metastasis remains unreported to the best of our knowledge. Case description: We present a compelling case study involving a 48-year-old female patient who had a previous medical history of ovarian cancer, treated with bilateral salpingo-oophorectomy and adjuvant chemotherapy. Remarkably, 48 months following her initial treatment, she developed an intraventricular metastasis. Imaging revealed the presence of a multi lobulated mass within the left occipital horn. Despite undergoing a radical surgical resection, her clinical course remained highly aggressive, highlighting the challenging nature of this particular case. Conclusion: Radical surgical resection emerges as the most relevant treatment option for patients with unique metastasis to the ventricular system. This case contributes to the existing body of literature concerning the unfavorable prognosis associated with serous ovarian carcinoma, further emphasizing the importance of early detection and diagnosis awareness.
Keywords
Ovarian cancer; serous carcinoma; brain metastasis; intraventricular tumor; choroid plexus


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