Brief Answer:
Detailed Answer:
Hi,
Thanks for the follow up, I will answer shortly
you make several points. first of all, elevated lymphocytes is usually indicative of a
viral meningitis, though it is also elevated with metastatic meningitis. however, usually cancer cells will be found in the
cerebrospinal fluid, and that would have been seen right away. the CT should show inflammation on the
meninges, which also would suggest metastatic meningitis.
in addition, metastatic disease would not get better at all unless it was treated with
chemotherapy, usually given interathecally (straight into the spinal fluid). although it usually happens in more advanced disease, it can occur even in people with disease that was thought to be localized.
I don't think you are missing anything, as you are very informed regarding her situation. please let me know if I can help further.
Regards,
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