{"id":"2f2822e6-315e-4537-a8b1-e2ae0f8afd0f","slug":"brain-metastasis-of-merkel-cell-carcinoma-a-rare-case-report","title":"Brain metastasis of Merkel cell carcinoma – A rare case report","authors":["Ricardo Lourenço Caramanti","Feres Eduardo Chaddad Neto","Lucas Crociati Meguins","Carlos Eduardo Rocha","Dionei Freitas de Moraes","Mário José Góes"],"abstract":"Background: Merkel cell carcinoma (MCC) is a rare neuroendocrine skin tumor. In our knowledge, only 30 cases of brain metastasis were reported in literature. The authors report a case of 57-year-old male with elevated intracranial pressure signs, which a frontal mass with pathological diagnosis of MCC. Case Description: A 57-year-old male was admitted with a 3-month history of progressive headache, associated with nausea and dizziness. The magnetic resonance imaging showed a left frontal lobe, parasagittal, and nodular lesion with perilesional edema. The patient underwent complete surgical resection with success. The adjuvant treatment was radiotherapy and chemotherapy. Conclusion: In our knowledge, there is a little number of cases of MCC reported in literature. Surgical management is considered in cases with intracranial hypertension or focal signs. The adjuvant treatment options are immunotherapy and radiotherapy.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/2f2822e6-315e-4537-a8b1-e2ae0f8afd0f/featured/hero-1781563785865.png","publishDate":"2019-09-10T00:00:00.000Z","doi":"10.25259/SNI_166_2019","categories":["Neuro-oncology","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/2f2822e6-315e-4537-a8b1-e2ae0f8afd0f/pdf"}