Metastatic Lung Cancer with intra and supratentorial lesions | Figure 1

cortexnp
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Metastatic Lung Cancer with intra and supratentorial lesions

60s yo female adm for mechanical fall w headache. 2 months previously dx and treated for lung cancer. Deconjugate gaze, and poor cerebellar function, dysarthric. Multiple supra and infratentorial sub centimeter lesions. Larges lesion was right cerebellar w mass effect on 4th ventricle. Extensive conversation w pt and family, they requested surgery. Path c/w metastatic small cell carcinoma. Post op cerebellar function improved, and participated well w therapy. Ultimately passed 3 weeks after resection due to pulmonary deterioration and family desire for hospice.

Diagnosis added by author

metastatic small cell carcinoma

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