Article ; Online: Metastatic lung cancer, an interesting stroke mimic.
BMJ case reports
2014 Volume 2014
Abstract: An elderly man presented to the emergency department with symptoms of a left-sided weakness. A CT of the brain scan showed an abnormality, and he was diagnosed with a stroke and admitted to the stroke unit. The stroke consultant reviewed him the next ... ...
Abstract | An elderly man presented to the emergency department with symptoms of a left-sided weakness. A CT of the brain scan showed an abnormality, and he was diagnosed with a stroke and admitted to the stroke unit. The stroke consultant reviewed him the next morning; a detailed history was acquired and imaging reviewed. As a result of the history of neurological symptoms, a diagnosis of malignancy was suspected and an MRI of the brain was ordered. This did not show a stroke but suggested a mass lesion. A CT of the chest, abdomen and pelvis was ordered to rule out a primary cause. Unfortunately, this showed widespread metastatic carcinoma with a left upper lobe primary (T4 N3 M1b). This was confirmed on histology. The patient died soon after the diagnosis. |
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MeSH term(s) | Adenocarcinoma/complications ; Adenocarcinoma/diagnosis ; Adenocarcinoma/secondary ; Aged ; Brain/diagnostic imaging ; Brain/pathology ; Brain Neoplasms/complications ; Brain Neoplasms/diagnosis ; Brain Neoplasms/secondary ; Diagnosis, Differential ; Fatal Outcome ; Humans ; Lung Neoplasms/complications ; Lung Neoplasms/pathology ; Magnetic Resonance Imaging ; Male ; Stroke/diagnosis ; Stroke/etiology ; Tomography, X-Ray Computed |
Language | English |
Publishing date | 2014-01-21 |
Publishing country | England |
Document type | Case Reports ; Journal Article |
ISSN | 1757-790X |
ISSN (online) | 1757-790X |
DOI | 10.1136/bcr-2013-201699 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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