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Metastatic adenocarcinoma in cerebral astrocytoma: Clinicopathological and immunohistochemical study with review of the literature

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Summary

Metastatic spreading of carcinoma into a pre-existing cerebral glioma is extremely rare and only a few well-documented cases have been reported in the literature. Here we report a 53-year-old man who at the age 49 was first operated on for a frontal astrocytoma (WHO-grade II). This tumour was completely resected and no post-operative radio- or chemotherapy was applied. About five years later the patient presented again with a large partially cystic space-occupying lesion at the same site, which pre-operatively appeared as a recurrence of the astrocytoma. Histologically, however, this tumour proved to be a metastatic adenocarcinoma into a recurrent astrocytoma. Further clinical examinations revealed a bronchial carcinoma as the primary lesion responsible for this unusual metastatis. The clinical and neuropathological findings of this interesting case including immunohistochemistry are presented and discussed.

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Authors and Affiliations

  1. Department of Neuropathology and Neurosurgical Clinic, Federal Republic of Germany

    J. C. W. Kiwit & W. Wechsler

  2. Heinrich-Heine-University of Düsseldorf, Federal Republic of Germany

    Y. Tajika, G. Reifenberger & W. Wechsler

Authors
  1. Y. Tajika
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  2. G. Reifenberger
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  3. J. C. W. Kiwit
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  4. W. Wechsler
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Supported by the Deutsche Forschungsgemeinschaft, SFB 200.

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Tajika, Y., Reifenberger, G., Kiwit, J.C.W. et al. Metastatic adenocarcinoma in cerebral astrocytoma: Clinicopathological and immunohistochemical study with review of the literature. Acta neurochir 105, 50–55 (1990). https://doi.org/10.1007/BF01664858

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  • DOI: https://doi.org/10.1007/BF01664858

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