Abstract
A 67-year-old patient with metastatic renal cell cancer was treated with fractionated stereotactic radiotherapy to a hemorrhagic pons metastasis. He then developed multiple cystic brain lesions, suggestive of diffuse metastatic spread. However, further work-up revealed abscesses from bronchopneumonia. Diagnostic and therapeutic aspects as well as potential pitfalls in the management of patients with brain metastases are discussed.
MeSH terms
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Aged
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Antineoplastic Agents, Hormonal / therapeutic use
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Brain Abscess / complications
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Brain Neoplasms / complications
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Brain Neoplasms / diagnosis
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Brain Neoplasms / radiotherapy*
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Brain Neoplasms / secondary*
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Bronchopneumonia / complications
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Combined Modality Therapy
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Dexamethasone / therapeutic use
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Fatal Outcome
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Humans
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Kidney Neoplasms / complications
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Kidney Neoplasms / pathology*
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Lung Neoplasms / complications
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Lung Neoplasms / radiotherapy
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Lung Neoplasms / secondary
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Male
Substances
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Antineoplastic Agents, Hormonal
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Dexamethasone