Cerebellar Cystic Metastasis—An Unusual Presentation of Prostate Adenocarcinoma Dissemination: A Case Report

ABSTRACT Although prostate cancer is among the most common malignant tumors in men, brain metastases from prostatic cancer are infrequent. Brain dissemination is especially rare with the most frequent histological type of prostatic adenocarcinoma. We present a case of a cystic‐hemorrhagic cerebellar metastasis with a solid enhancing component in a patient with prostatic cancer. After two neurosurgical resections and an interim ischemic stroke, the patient is currently in a 6‐month no‐recurrence status. Brain involvement in prostate cancer decreases patient survival significantly. The prompt diagnosis and timely treatment are crucial. Metastasis from prostate cancer should be included in the differential diagnosis of a cystic‐hemorrhagic cerebellar mass, especially in a patient with known malignancy.