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Cerebellar degeneration as presenting symptom of recurrent endometrial stromal sarcoma with sex-cord elements
Michael Gliem1, Dimitris Panayotopoulos, Peter Feindt
1Departments of Neurology, Heinrich Heine University, Duesseldorf, Germany.
Abstract:
We report a 66-year-old woman with slowly progressive ataxia due to cerebellar atrophy. Imaging studies revealed multiple lesions in both the lungs and dorsal subpleural space. A biopsy identified the lesions as metastases of a low-grade endometrial stromal sarcoma containing sex-cord elements. The histological appearance was identical to a uterine tumor the patient was treated for with hysterectomy 16 years before. The metastases were removed surgically, and after 3 months ataxia had regressed. We conclude that the presenting cerebellar degeneration in this patient resulted from the metastatic recurrence of the endometrial tumor.
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