Document Detail

Well-differentiated papillary adenocarcinoma arising in a supratentorial enterogenous cyst: case report.
MedLine Citation:
PMID:  9848864     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE AND IMPORTANCE: We report a case of a well-differentiated papillary adenocarcinoma arising in an supratentorial enterogenous cyst. The clinicopathological features of this case and a brief review of the literature are presented. CLINICAL PRESENTATION: A 45-year-old woman presented with abrupt onset of sensory seizures and abnormal sensation on the left side of her face, left leg, and left arm. Radiological studies showed a cystic extraaxial tumor with mass effect in the right parietal area. The initial clinical impression was a metastatic lesion, and a comprehensive metastatic workup revealed no evidence of tumor elsewhere. INTERVENTION: A gross total resection of the solid cystic tumor was achieved by a frontoparietal craniotomy. Sixteen months after the initial surgery, the patient presented with signs of increased intracranial pressure and a large parietal cyst. The cyst was fenestrated at the time of the second craniotomy. CONCLUSION: A pathological study of the initial surgical material revealed it to be a well-differentiated papillary adenocarcinoma in association with an enterogenous cyst. The second surgical specimen consisted only of the benign cyst wall. The patient recovered uneventfully from the second surgery and was free of symptoms 6 months postoperatively. The importance of recognizing the rare possibility of malignant progression of a benign enterogenous cyst in the central nervous system is discussed.
L C Ho; A Olivi; C H Cho; P C Burger; F Simeone; T Tihan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  43     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1998 Dec 
Date Detail:
Created Date:  1999-03-12     Completed Date:  1999-03-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1474-7     Citation Subset:  IM    
Department of Pathology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
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MeSH Terms
Adenocarcinoma, Papillary / diagnosis,  etiology,  pathology*,  surgery
Brain Neoplasms / diagnosis,  etiology,  pathology*,  secondary,  surgery
Cell Transformation, Neoplastic
Choroid Plexus Neoplasms / diagnosis
Cysts / pathology*
Diagnosis, Differential
Disease Progression
Epilepsies, Partial / etiology
Middle Aged
Neoplasms, Unknown Primary / diagnosis
Neural Tube Defects / pathology*,  surgery
Parietal Lobe / pathology*,  surgery
Sensation Disorders / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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