Document Detail


Cerebral metastasis and other cerebral events in women with ovarian cancer.
MedLine Citation:
PMID:  12384107     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To determine the incidence, imaging findings and prognostic significance of cerebral metastases and other cerebral events in women with ovarian cancer. METHOD: A 5-year retrospective review of all women with ovarian cancer who had cranial imaging was undertaken at two major gynaecological oncology centers. RESULTS: Of 1222 women under clinical review, 78 underwent cranial imaging and 13 (1.1%) had cerebral metastasis. Computed tomography (CT) was diagnostic of parenchymal disease in 12 and magnetic resonance imaging (MRI) showed leptomeningeal disease in two. The women were aged between 23 and 73 years and all had stage III or IV disease at presentation. Cerebral metastasis occurred at 6-60 months from initial diagnosis, with death occurring predominantly within 12 months, but with five survivors at 4-45 months. Of the remaining 65 women, 10 had cerebrovascular disease and three had unrelated lesions. CONCLUSION: Cerebral metastasis remains a rare event in women with ovarian cancer but may be an isolated late event associated with survival beyond a year after neurosurgery and chemotherapy. CT should be the first investigation as the incidence of cerebrovascular disease is similar to that of metastatic disease.
Authors:
A Sanderson; S C Bonington; B M Carrington; D L Alison; J A Spencer
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Clinical radiology     Volume:  57     ISSN:  0009-9260     ISO Abbreviation:  Clin Radiol     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-10-17     Completed Date:  2002-11-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1306016     Medline TA:  Clin Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  815-9     Citation Subset:  IM    
Affiliation:
Department of Clinical Radiology and Medical Oncology, St James's University Hospital, Leeds, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Brain Neoplasms / diagnosis,  epidemiology,  secondary*
England / epidemiology
Female
Follow-Up Studies
Humans
Incidence
Magnetic Resonance Imaging
Middle Aged
Neoplasm Staging
Ovarian Neoplasms*
Prognosis
Retrospective Studies
Survival Rate
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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