Sundar I Vijay, Jain S K, Kurmi Dhrubajyoti, Sharma Rakesh, Chopra Sanjeev, Singhvi Shashi
Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India.
Department of Pathology, SMS Medical College, Jaipur, Rajasthan, India.
Asian J Neurosurg. 2016 Jul-Sep;11(3):314. doi: 10.4103/1793-5482.145319.
Carcinoid tumors are rarely known to metastasise to the brain. It is even more rare for such patients to present with symptoms related to metastases as the initial and only symptom. We present a case of a 60-year-old man who presented with hemiparesis and imaging features suggestive of brain tumor. He underwent surgery and the histopathology revealed metastatic malignant lesion of neuroendocrine origin. A subsequent work up for the primary was negative. Patient was treated with adjuvant radiotherapy. We present this case to highlight the pathophysiological features, workup and treatment options of this rare disease and discuss the methods of differentiating it from more common brain tumors.
类癌肿瘤很少发生脑转移。此类患者以转移相关症状作为首发且唯一症状的情况更为罕见。我们报告一例60岁男性患者，其表现为偏瘫及提示脑肿瘤的影像学特征。他接受了手术，组织病理学检查显示为神经内分泌起源的转移性恶性病变。随后对原发灶的检查结果为阴性。患者接受了辅助放疗。我们呈现此病例以突出这种罕见疾病的病理生理特征、检查及治疗选择，并讨论将其与更常见脑肿瘤相鉴别的方法。
