Intracranial metastatic liposarcoma

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

55 yo female had an ICH in the right parietal lobe and imaging at that time revealed no definite underlying mass. Her neurological status deteriorated rapidly over 3 weeks and she presented with prominent left-sided sensory and motor deficits.

Patient Data

Age: 55 years
Gender: Female

Large isodense peripherally located mass with abundant vasogenic edema in the left cerebral hemisphere. 

(Probably) extra-axial vividly enhancing mass with surface vasculature and extensive vasogenic edema. 

Case Discussion

Four years earlier the patient had had a resection of a right thigh mass, shown to be a liposarcoma. 

The patient went on to have a right parietal craniotomy and resection of the mass. Histology demonstrated metastatic liposarcoma.

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