Metastatic Brain Tumor: A Case with Diagnostic Dilemma
Journal Title: Nepal Journal of Neuroscience - Year 2009, Vol 6, Issue 1
Abstract
Metastatic brain tumor is a disease of elderly people. However, we report a case of occipital lobe metastasis from a primary lesion in lungs in a nonsmoker young man who presented with headache and diminution of vision. The patient did not have any signs and symptoms regarding the lung disease. Though radiological diagnosis was tuberculoma and intraoperative diagnosis was meningioma, final histological evaluation suggested germinoma. Immunohistochemical evaluation suggested metastatic brain tumor from lung. Reevaluation of patient was done clinically and radiologically. An enlarged supraclavicular lymphnode was found, the biopsy report of which suggested adenocarcinoma. Chest X ray showed a coin lesion in the right upper zone. The diagnosis was reached retrospectively by immunohistochemistry and a search of primary focus after the former results arrived. We had to overcome a lot of diagnostic hurdles that have been elaborated in the present case presentation.
Authors and Affiliations
Nilam K Khadka, MBBS, MCh
Keywords
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