Alveolar soft part sarcoma with brain metastases
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Metastatic tumors are the most common mass lesions in the brain. This case reports a rare form of sarcoma with metastasis to the brain. The appropriate management of a patient with metastatic alveolar soft part sarcoma to the brain is discussed. The author describes a 32-year-old gentleman diagnosed with a primary tumor at gluteus and distant metastases at the lower lobe of the right lung and the brain. Histopathology proves diagnosis as alveolar soft part sarcoma. Craniotomy with excision of brain lesion was done. Repeated magnetic resonance imaging of the brain after 2 months showed rapidly growing new lesions. The next step of management was made by the oncology team as recurrence rate was high and due to multi-systemic involvement. The patient was planned for palliative chemotherapy and to be reassessed later.

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