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Vol. 22. Num. 6.January 2011
Pages 488-607
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Vol. 22. Num. 6.January 2011
Pages 488-607
DOI: 10.1016/S1130-1473(11)70115-4
Lung carcinoma metastasis presenting as a pineal region tumor
Metástasis del carcinoma de pulmón que se presenta como tumor de la región pineal
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Y. Samanci??
Corresponding author
mysamanci@hotmail.com

Corresponding. Neurosurgery Clinic, Ministry of Health Okmeydani Education and Research Hospital. Istanbul, Turkey.
, C. Iplikcioglu, E. Ozek
Neurosurgery. Ministry of Health Okmeydani Education and Research Hospital. Istanbul Turkey
D. Ozcan*
* Pathology Departments. Ministry of Health Okmeydani Education and Research Hospital. Istanbul Turkey
B. Marangozoglu**
** Department of Neurology. Istanbul University. Istanbul Faculty of Medicine. Istanbul. Turkey
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Summary

The pineal region is an unusual site for brain metastasis and most metastatic pineal lesions are asymptomatic. A 53 year-old man presented with severe headache, limitation of upward gaze and diplopia. The patient's neurological examination was unremarkable. Magnetic resonance imaging (MRI) scans of the brain demonstrated a 1,5×2cm well demarcated solitary mass in the pineal region with hydrocephalus. Surgery was performed and adenocarcinoma was diagnosed. A systemic investigation revealed adenocarcinoma of the lung as primary lesion. Although rare, metastatic tumor should be considered in the differential diagnosis of pineal region tumors.

Key words:
Pineal region
Metastasis
Lung carcinoma
MRI
Pineal tumor
Resumen

La región pineal es un sitio inusual para el depósito de metástasis y la mayoría de las metástasis pineales son asintomáticas. Un hombre de 53 años debutó con una cefalea intensa, limitación en la supraversión y diplopia. La exploración neurológica fue irrelevante. La resonancia magnética (RM) cerebral demostró una lesión solitaria de 1,5×2cm bien delimitada, en la región pineal con hidrocefalia. Fue intervenido quirúrgicamente siendo el diagnóstico anatomopatológico de adenocarcinoma. Un estudio sistémico descubrió un adenocarcinoma de pulmón como tumor primario. Aunque muy raramente, las metástasis deben considerarse en el diagnóstico diferencial de tumores de la región pineal.

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