Presentation
Confusion on a background of prostate cancer
Patient Data
Age: 70 years
Gender: Male
From the case:
Brain metastasis - prostate adenocarcinoma
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There is a large, predominantly homogenously enhancing mass in the right middle cranial fossa. There is significant associated vasogenic edema with approximately 4 mm of midline shift to the left.
Case Discussion
The patient underwent a craniotomy and debulking of this right middle cranial fossa lesion. Subsequent histopathology demonstrated features in keeping with metastatic prostatic adenocarcinoma. Brain metastasis from prostate cancer is a rare phenomenon, with an incidence ranging from 0.04% to 2% 1.
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