Summary
The authors report 34 cases of solitary cerebral metastases from intestinal cancer. In 24 cases the tumour was localized in the colonrectum and in 10 in the small intestine. In 8 patients (23%) neurological symptoms were the first clinical sign of systemic spread of the tumour; in 26 cases (77%) there was a long interval between treatment of the primary and appearance of the cerebral metastasis (average 24 months). Average survival was 10 months and was influenced solely by staging of the primary. Interestingly, the prognostic value of radiotherapy was minimal and none of the patients operated by the “no touch technique” presented with a recurrence.
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References
Cascino TL, Leavengood M, Kemeny N, Posner JB (1983) Brain metastases from colon cancer. J Neurooncol 1: 203–209
Chyun Y, Hayward D, Lockich J (1980) Metastasis to the central nervous system from colonrectal cancer. Med Pediatr. Oncol 8: 305–308
Delarive J, de Tribolet N (1992) Metastases cerebrales. Etude d'un collectif chirurgical de 81 cas. Neurochirurgie 38: 89–97
Delattre JY, Krol G, Thaler HT, Posner JB (1988) Distribution of brain metastases. Arch Neurol 45: 741–744
Maiuri F (1983) Metastasi da carcinoma ntestinale simulante un meningioma della doccia olfattoria. Riv Neurol 53: 178–185
Nakajima N, Ramadan H, Lapi N (1979) Rectal carcinoma with cerebral metastasis: report of a case and review of the literature. Dis Colon Rectum 22: 252–255
Rovirosa A, Bodi R, Vicente P, Alastuey I, Giralt J, Salvador L (1991) Metastasis cerebrales en el adenocarcinoma de colon. Rev Esp Enf Digest 79: 281–283
Ruelle A, Gambini C, Macchia G, Andrioli G (1987) Brain metastasis from colon cancer. Case report showing a clinical and Ct unusual appearance. J Neurosurg Sci 31: 33–36
Temple DF, Ledesma EJ, Mittelman A (1982) Cerebral metastases from adenocarcinoma of the colon and rectum. NY state J Med 82: 1812–1814
Weiss L (1985) Metastatic brain tumors. Factors that govern the metastatic process. In: De Vita VT, Hellman S, Rosemberg SA (eds) Cancer. Principles and practice of oncology. Lippincott, Philadelphia, pp 2261–2274
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Salvati, M., Cervoni, L., Paolini, S. et al. Solitary cerebral metastases from intestinal carcinoma. Acta neurochir 133, 181–183 (1995). https://doi.org/10.1007/BF01420071
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DOI: https://doi.org/10.1007/BF01420071