Supervivencia tras el tratamiento de metástasis cerebral, única, tardía en una paciente afectada de cáncer de ovario

Central nervous system metastases from ovarian carcinoma are uncommon. We present the case of a 48-year-old woman with a bilateral serous papillary ovarian carcinoma. She received neoadjuvant chemotherapy and underwent suboptimal cytoreductive surgery and pelvic irradiation. Nine years later she had a pleural relapse of the disease and was treated with six cycles of carbotaxol. Eleven years after the initial diagnosis she presented an 8 cm brain metastasis and underwent resection followed by whole-brain radiotherapy with a boost on the tumor bed. The patient is currently asymptomatic and shows no sequels. In patients with an isolated brain metastasis, surgery followed by radiotherapy and systemic chemotherapy offers the best results.