Simultaneous primary cancer occurrence of melanoma and pulmonary adenocarcinoma in leptomeningeal metastases : a case report

Stoppek, Ann-Kathrin GND; Kebir, Sied GND; Junker, Andreas GND; Keyvani, Kathy GND; Zülow, Stefan GND; Lazaridis, Lazaros GND; Schmidt, Teresa GND; Pierscianek, Daniela GND; Stuschke, Martin GND; Sure, Ulrich GND; Kleinschnitz, Christoph GND; Scheffler, Björn GND; Zimmer, Lisa GND; Glas, Martin GND

Background: Leptomeningeal metastasis (LM) is a predominantly late stage, devastating complication of a variety of malignant solid tumors. Diagnosis relies predominantly on neurological, radiographic, and cerebrospinal fluid (CSF) assessments. Recently, liquid biopsy tests derived from CSF has shown to be a feasible, noninvasive promising approach to tumor molecular profiling for proper brain cancer diagnostic treatment, thereby providing an opportunity for CSF-based personalized medicine. However, LM is typically misleadingly assumed to originate from only one primary tumor type.

Case presentation: In this case report, we provide first evidence of the co-occurrence of LM originating from more than one primary tumor types.

Discussion and conclusions: Based on this patient case profile, the co-occurrence of LM from two or more primary tumor types should be accounted for when deriving diagnostic conclusions from liquid biopsy tests.

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Stoppek, Ann-Kathrin / Kebir, Sied / Junker, Andreas / et al: Simultaneous primary cancer occurrence of melanoma and pulmonary adenocarcinoma in leptomeningeal metastases. a case report. 2019.

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