Cerebellar metastasis from serous adenocarcinoma of the ovary mimicking pilocytic astrocytoma
This 38-year-old lady underwent total abdominal hysterectomy with bilateral salpingoopherectomy one and a half year back. Biopsy was serous adenocarcinoma. Adjuvant cisplatin based chemotherapy was given. She presented to us with history of four months of headache, raised intracranial pressure and right side cerebellar symptoms and signs. Magnetic Resonance Imaging (MRI) brain revealed solitary right sided cerebellar SOL with solid – cystic component, which was hypo on T1W1 images and hyper on T2W1 images. Solid component along with cyst wall showed contrast enhancement. There was no perilesional edema [Figure –]. Workup for any other site of metastases was negative. Right sided retromastoid sub occipital craniotomy with gross total excision of the tumor was done. Histopathological report was consistent with ovarian adenocarcinoma. Till the last follow-up, after six months of surgery, she had improvement in symptoms and no evidence of recurrence.