Professional Documents
Culture Documents
Case Report
1 Department of Neurosurgery, Sri Aurobindo Medical College and Address for correspondence Rahul Awasthi, MCh, Department of
PG Institute, Indore, Madhya Pradesh, India Neurosciences, Medanta Hospital, Indore, Madhya Pradesh 453111,
India (e-mail: dr.awasthir@gmail.com).
Indian J Neurosurg
Abstract Brain tumors in pregnancy are rare phenomenon with variable outcomes. We present
Keywords a case of adenocarcinoma cerebrum originated from the lung in a 24-year-old
► pregnancy primigravida woman. The patient was operated successfully, and 6-month
► adenocarcinoma postoperative period was uneventful. A female child was born with cesarean
► metastasis section at full term.
Fig. 1 Axial (A) and coronal (B) views of magnetic resonance image (MRI) of the brain demonstrating left posterior-frontal tumor with central
necrosis.
and all mothers who underwent surgery at or near term 8 Ahmadi SA, Roozbeh H, Abbasi A, Bahadori M, Moghaddam KG,
subsequently delivered healthy infants.21 Ketabchi SE. Cerebral tuberculoma in pregnancy: overview of
the literature and report of a case. Acta Med Iran 2011;49(01):
64–69
Conclusion 9 Hua Y, Tong H, Jin-Huan W. Cerebral tuberculoma located in left
frontal lobe. Chin Med J (Engl) 2013;126:3
Though MRI features can be suggestive of infective 10 Khanna PC, Godinho S, Patkar DP, Pungavkar SA, Lawande MA.
pathology and it may be compelling to start ATT MR spectroscopy-aided differentiation: “giant” extra-axial
empirically (esp. during pregnancy when there is a risk in tuberculoma masquerading as meningioma. AJNR Am J
Neuroradiol 2006;27(07):1438–1440
intervention), a tissue diagnosis is necessary as uncommon
11 Saini KS, Patel AL, Shaikh WA, Magar LN, Pungaonkar SA.
lesions like a metastasis can be present.
Magnetic resonance spectroscopy in pituitary tuberculoma.
Singapore Med J 2007;48(08):783–786
12 Haas JF, Jänisch W, Staneczek W. Newly diagnosed primary
Conflict of Interest intracranial neoplasms in pregnant women: a population-based
None. assessment. J Neurol Neurosurg Psychiatry 1986;49(08):
874–880
13 Narita Y, Shibui S. Strategy of surgery and radiation therapy for
brain metastases. Int J Clin Oncol 2009;14(04):275–280
References 14 Hess KR, Varadhachary GR, Taylor SH, et al. Metastatic patterns
1 Foco F, Dizdarevic-Spago D, Efendic R, Dizdarevic D, Babajic E, in adenocarcinoma. Cancer 2006;106(07):1624–1633
Sarajlic L. Adenocarcinoma metastaticum of the frontal region. 15 Neves I, Mota PC, Hespanhol VP. Lung cancer during pregnancy:
Med Arh 2011;65(01):61–62 an unusual case. Rev Port Pneumol 2014;20(01):46–49
2 Biroli A, Cecchi PC, Pragal S, Hanspeter E, Schwarz A. Cerebral 16 Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global
metastasis from a previously undiagnosed appendiceal cancer statistics. CA Cancer J Clin 2011;61(02):69–90
adenocarcinoma. Case Rep Oncol Med 2012;2012:192807 17 Pereg D, Koren G, Lishner M. Cancer in pregnancy: gaps,
3 Pantović S, Sparić R, Mijalčić R. [Metastatic brain tumour in challenges and solutions. Cancer Treat Rev 2008;34(04):302–312
pregnancy: a case report] [in Serbian]. Srp Arh Celok Lek 2012; 18 Azim HA Jr, Peccatori FA, Pavlidis N. Lung cancer in the pregnant
140(5–6):365–370 woman: to treat or not to treat, that is the question. Lung Cancer
4 Lew PS, Tan WC, Tan WK, Tan HK. Dilemmas in management of 2010;67(03):251–256
brain tumours in pregnancy. Ann Acad Med Singapore 2010; 19 Garrido M, Clavero J, Huete A, et al. Prolonged survival of a
39(01):64–65 woman with lung cancer diagnosed and treated with
5 Terry AR, Barker FG II, Leffert L, Bateman BT, Souter I, Plotkin SR. chemotherapy during pregnancy. Review of cases reported.
Outcomes of hospitalization in pregnant women with CNS Lung Cancer 2008;60(02):285–290
neoplasms: a population-based study. Neuro-oncol 2012; 20 Mackenzie AP, Levine G, Garry D, Figueroa R. Glioblastoma
14(06):768–776 multiforme in pregnancy. J Matern Fetal Neonatal Med 2005;
6 Isla A, Alvarez F, Gonzalez A, García-Grande A, Perez-Alvarez M, 17(01):81–83
García-Blazquez M. Brain tumor and pregnancy. Obstet Gynecol 21 Cohen-Gadol AA, Friedman JA, Friedman JD, Tubbs RS, Munis
1997;89(01):19–23 JR, Meyer FB. Neurosurgical management of intracranial
7 Ramamurthi B, Varadarajan MG. Diagnosis of tuberculomas of lesions in the pregnant patient: a 36-year institutional
the brain. Clinical and radiological correlation. J Neurosurg 1961; experience and review of the literature. J Neurosurg 2009;
18:1–7 111(06):1150–1157