Imaging Pattern of Brain Metastasis of all Patients with Known Primary Malignancies Presented to Radiology Department at Tikur Anbesa Specialized Hospital, Addis Ababa University, Addis Ababa, Ethiopia from September 2018– September 2020.
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Date
2020-12
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Addis Abeba University
Abstract
Background: Brain metastasis is one of the leading causes of death in cancer patients
due to increasing the options of treatment for primary tumors and increasing life span.
Brain metastases have different radiological manifestations which may mimic primary
tumor and nonmalignant diseases. Therefore, it is important for the radiologist to be
familiar with the full spectrum of findings to facilitate correct diagnosis and this study
has tried to look for the pattern of brain metastasis.
Objective: This study aimed to assess the overall brain metastasis patterns.
Methods: A retrospective cross sectional study of 51 patients was done from
September 2018-September 2020. A structured questionnaire was used to collect data
for analysis.
Results: Of the total 51 cases there were 12 primary sites and the majority cases came
from the following site in the descending orders breast (22),lung
(11),bladder(4),GTD(3),RCC,STS and thyroid each(2) and colonic, endometrial ca
melanoma, nasal SCC and thymic ca each (1)
Cerebral hemisphere was the commonest site to be involved followed by cerebellum
and brain stem.
Most common pattern of metastasis was multiple nodular followed by solitary,
hemorrhagic, cystic and cavitary
Conclusion: cerebral hemisphere metastasis was the commonest brain parts with
multinodular pattern and ring enhancement with associated perilesional edema and
presence of diffusion restriction for more than half cases
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Keywords
Brain metastasis,Patients,Radiology