IP International Journal of Forensic Medicine and Toxicological Sciences


Leptomeningeal carcinomatosis in a patient with lung cancer: A case report


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Author Details: M. Vijayakarthikeyan, S. Gopalakrishnan, R. Umadevi

Volume : 2

Issue : 2

Online ISSN : 2456-9615

Print ISSN : 2581-9844

Article First Page : 35

Article End Page : 36


Abstract

Leptomeningeal carcinomatosis known as neoplastic meningitis & cancer of meninges is the invasion of leptomeninges which includes the pia mater and arachnoid membrane. It is one of the rare complications of cancer and usually terminal. They are associated with breast cancer, melanoma, lung cancer, leukemia, lymphoma. Leptomeningeal carcinomatosis in seen only 5% of lung cancer patients. If left untreated median survival is 4-6weeks and if treated median survival is 3-4 months. Intrathecal therapy if used optimally along with targeted therapy when indicated result in good palliation with improvement in survival. In this report we present a case of 58 year male who is a chronic smoker who is diagnosed as having adenocarcinoma lung with leptomeningeal carcinomatosis which is a rare presentation.

Keywords:
Leptomeningeal carcinomatosis, Neoplastic meningitis, Lung cancer