Cerebral metastasis from osteosarcoma: “Bone” in the brain

Although brain metastases from bone and soft tissue sarcoma are uncommon, advances in sarcoma treatment have led to an increasing incidence of them. We present a 23-year-old male with a history of metastatic femoral osteosarcoma, who presented with headache and unsteady gait and was diagnosed with a...

Full description

Saved in:
Bibliographic Details
Published in:Radiology case reports 2020-06, Vol.15 (6), p.780-783
Main Authors: Kokkali, Stefania, Andriotis, Efthymios, Katsarou, Elena, Theocharis, Angelos, Drizou, Maria, Magou, Elpida, Tzovaras, Alexandros, Ardavanis, Alexandros
Format: Article
Language:English
Subjects:
Brain metastasis
Calcification
Oncology
Osteosarcoma
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Although brain metastases from bone and soft tissue sarcoma are uncommon, advances in sarcoma treatment have led to an increasing incidence of them. We present a 23-year-old male with a history of metastatic femoral osteosarcoma, who presented with headache and unsteady gait and was diagnosed with a cerebellar metastasis. CT scan revealed a mass in the left cerebellar parenchyma with large intralesional central calcification and perilesional edema. Corticosteroid treatment led to neurological symptoms resolution, with a rapid tapering. The patient had also lung metastases and we opted to administer systemic treatment with the tyrosine kinase inhibitor cabozantinib. Given the relative radioresistance of osteosarcomas, the patient did not receive radiation therapy.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2020.03.020