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Meningeal carcinomatosis from pulmonary adenocarcinoma

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Meningeal carcinomatosis without brain parenchymal involvement is a rare metastatic manifestation of carcinoma lung. CT scan and MRI may help the diagnosis, but a positive cytological examination of the cerebrospinal fluid is confirmatory. Intrathecal chemotherapy with involved field radiotherapy is the mainstay of treatment.

A 60-year-old female presented with left lower lobe lung nodule of a poorly differentiated adenocarcinoma. CT Thorax showed a mass in superior segment of (L) lower lobe involving segmental bronchus and another metastatic nodular lesion in the (L) paraortic region with multiple nodules scattered throughout the (L) lung parenchyma. Following six cycles of ...

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