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Résumé
RÉSUMÉ
Le cancer et un accident vasculaire cérébral peuvent coexister chez un patient. Certaines tumeurs ont un faible tropisme cérébral. Nous rapportons un cas de métastase cérébrale d’un cancer de l’endomètre siégeant dans le territoire d’infarctus de l’artère sylvienne droite survenue chez une patiente de 68 ans. Elle avait présenté en l’intervalle de deux mois, 02 épisodes d’hémiparésie gauche. Le scanner du premier épisode confirmait un infarctus sylvien droit, la patiente avait totalement récupéré. Au deuxième épisode, l’IRM mettait en évidence une plage pariétale droite hypo intense ainsi que deux processus parenchymateux, l’un pariétal droit et l’autre pariétal gauche. L’imagerie est indispensable pour poser le diagnostic de métastase cérébrale au sein d’un territoire infarci.
ABSTRACT
Cancer and stroke can co-exist in a patient. Some tumors have a low cerebral tropism. We report a case of cerebral metastasis of an endometrial cancer located in the infarct territory of the right sylvian artery in a 68-year-old female patient. She presented 02 episodes of left hemiparesis within two months. The CT scan of the first episode shown a right sylvian infarction, she fully recovered. In the second episode, the MRI showed a hypointense right parietal area and two parenchymal processe: one in the right parietal area and the other in the left parietal area. Imaging is essential for the diagnosis of brain metastasis within an infarcted territory.
Mots-clés
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Cette œuvre est sous licence Creative Commons Attribution - Pas d'Utilisation Commerciale - Pas de Modification 4.0 International.
##journal.references##
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- Tchounzou R, Simo Wambo AG, Nana Njamen T, Ofakem Ilick I, Tatah Neng H, Dadao F, and al. Patients Lost to Follow-Up for Cervical Cancer in the Limbe Regional Hospital. J Glob Oncol. 2019; 5: JGO.18.00067. doi: 10.1200/JGO.18.00067
##journal.references##
Siegel RL, Miller KD, Fedewa SA, Ahnen DJ, Meester RGS, Barzi A, Jemal A. Colorectal cancer statistics, 2017. CA Cancer J Clin. 2017 ; 67(3):177-93
Uccella S, Morris JM, Multinu F, Cliby WA, Podratz KC, Gostout BS, et al. Primary brain metastases of endometrial cancer: A report of 18 cases and review of the literature. Gynecol Oncol. 2016; 142(1):70-5.
Orrrù S, Lay G, Dessì M, Murtas R, Deidda MA, Amichetti M. Brain metastases from endometrial carcinoma: report of three cases and review of the literature. Tumori. 2007; 93(1):112-7
Gien LT, Kwon JS, D'Souza DP, Radwan JS, Hammond JA, Sugimoto AK, et al. Brain metastases from endometrial carcinoma: a retrospective study. Gynecol Oncol. 2004;93(2):524-8
Nasu K, Satoh T, Nishio S, Nagai Y, Ito K, Otsuki T, et al. Clinicopathologic features of brain metastases from gynecologic malignancies: a retrospective study of 139 cases (KCOG-G1001s trial). Gynecol Oncol. 2013 ; 128(2):198-203
Katz JM, Segal AZ. Incidence and etiology of cerebrovascular disease in patients with malignancy. Curr Atheroscler Rep. 2005 ;7(4):280-8
Cestari DM, Weine DM, Panageas KS, Segal AZ, DeAngelis LM. Stroke in patients with cancer: incidence and etiology. Neurology. 2004; 62(11):2025-30
Zöller B, Ji J, Sundquist J, Sundquist K. Risk of haemorrhagic and ischaemic stroke in patients with cancer: a nationwide follow-up study from Sweden. Eur J Cancer. 2012; 48(12):1875-83
Navi BB, Iadecola C. Ischemic stroke in cancer patients: A review of an underappreciated pathology. Ann Neurol. 2018; 83(5):873-83
Bang OY, Chung JW, Lee MJ, Seo WK, Kim GM, Ahn MJ et al. Cancer-Related Stroke: An Emerging Subtype of Ischemic Stroke with Unique Pathomechanisms. J Stroke. 2020; 22(1):1-10
Kim J, Jung G, Kim HG, Kim JY, Yang GY, Kim YZ. Role of cancer emboli as a metastatic core on the growth of brain metastasis in patients with non-small cell lung cancer. J Neurointensive Care. 2020;3(1):12–9
Tchounzou R, Simo Wambo AG, Nana Njamen T, Ofakem Ilick I, Tatah Neng H, Dadao F, and al. Patients Lost to Follow-Up for Cervical Cancer in the Limbe Regional Hospital. J Glob Oncol. 2019; 5: JGO.18.00067. doi: 10.1200/JGO.18.00067