African Journal of Medicine and Surgery

ISSN 2756-3324

African Journal of Medicine and Surgery ISSN 2756-3324 Vol. 11 (11), pp. 001-004, November, 2024. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Case Report

A Rare Presentation of Ovarian Lymphoma with Cerebral Leptomeningeal Metastasis: Clinical Insights and Treatment Outcomes

Nejmi Kiymaz1*, Nebi Yilmaz1, Mustafa Kösem2, Taner Yazici1, Suleyman Alici3 and Abdulbaki Kozan1

1Department of Neurosurgery, University of Yuzuncu Yil, School of Medicine, Van, Turkey.
2Department of Pathology, University of Yuzuncu Yil, School of Medicine, Van, Turkey.
3Department of Medical Onkology, University of Yuzuncu Yil, School of Medicine, Van, Turkey.

Accepted 13 January, 2024

Abstract

A 38 years old female patient is presented who applied to our neurosurgery clinic due to symptoms such as headache, ataxia, vertigo, vomiting and complaints related to a mass at the back side of her head. The examination of cranial magnetic resonance imaging (MRI) of the patient displayed a mass which obliterates the transverse sinus and extends from the scalp to the epidural space at a certain distance and to the occipital zone. The result of the biopsy report revealed an infiltration of malign lymphoma. The patient received cyclophosphamide, adriablastine, vincristine and prednisolone for 1 - 5 days, at 21 days interval and as 6 cures. A complete response was obtained at the end of the 3rd cure. The patient was orientated for radiotherapy at the end of the sixth cure. This case is a rarely seen ovarian lymphoma and constitutes a sample for cerebral leptomeningeal metastasis which is a very rare condition.

Key words: Cerebral leptomeningeal metastasis, primary ovarian lymphoma.