Primary Neuroendocrine Tumor in Brain

The incidence of brain metastases for neuroendocrine tumor (NET) is reportedly 1.5~5%, and the origin is usually pulmonary. A 77-year-old man presented to our hospital with headache and disturbance of specific skilled motor activities. Computed tomography (CT) showed a massive neoplastic lesion orig...

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Main Authors: Ryota Tamura, Yoshiaki Kuroshima, Yoshiki Nakamura
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2014/295253
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author Ryota Tamura
Yoshiaki Kuroshima
Yoshiki Nakamura
author_facet Ryota Tamura
Yoshiaki Kuroshima
Yoshiki Nakamura
author_sort Ryota Tamura
collection DOAJ
description The incidence of brain metastases for neuroendocrine tumor (NET) is reportedly 1.5~5%, and the origin is usually pulmonary. A 77-year-old man presented to our hospital with headache and disturbance of specific skilled motor activities. Computed tomography (CT) showed a massive neoplastic lesion originating in the left temporal and parietal lobes that caused a mass edematous effect. Grossly, total resection of the tumor was achieved. Histological examination revealed much nuclear atypia and mitotic figures. Staining for CD56, chromogranin A, and synaptophysin was positive, indicating NET. The MIB-1 index was 37%. Histopathologically, the tumor was diagnosed as NET. After surgery, gastroscopy and colonoscopy were performed, but the origin was not seen. After discharge, CT and FDG-PET (fluoro-2-deoxy-d-glucose positron emission tomography) were performed every 3 months. Two years later we have not determined the origin of the tumor. It is possible that the brain is the primary site of this NET. To our knowledge, this is the first reported case of this phenomenon.
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spelling doaj-art-9d3dae87911a466eb49e3610dc98ae062025-02-03T05:50:25ZengWileyCase Reports in Neurological Medicine2090-66682090-66762014-01-01201410.1155/2014/295253295253Primary Neuroendocrine Tumor in BrainRyota Tamura0Yoshiaki Kuroshima1Yoshiki Nakamura2Department of Neurosurgery, Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo 152-8902, JapanDepartment of Neurosurgery, Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo 152-8902, JapanDepartment of Neurosurgery, Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo 152-8902, JapanThe incidence of brain metastases for neuroendocrine tumor (NET) is reportedly 1.5~5%, and the origin is usually pulmonary. A 77-year-old man presented to our hospital with headache and disturbance of specific skilled motor activities. Computed tomography (CT) showed a massive neoplastic lesion originating in the left temporal and parietal lobes that caused a mass edematous effect. Grossly, total resection of the tumor was achieved. Histological examination revealed much nuclear atypia and mitotic figures. Staining for CD56, chromogranin A, and synaptophysin was positive, indicating NET. The MIB-1 index was 37%. Histopathologically, the tumor was diagnosed as NET. After surgery, gastroscopy and colonoscopy were performed, but the origin was not seen. After discharge, CT and FDG-PET (fluoro-2-deoxy-d-glucose positron emission tomography) were performed every 3 months. Two years later we have not determined the origin of the tumor. It is possible that the brain is the primary site of this NET. To our knowledge, this is the first reported case of this phenomenon.http://dx.doi.org/10.1155/2014/295253
spellingShingle Ryota Tamura
Yoshiaki Kuroshima
Yoshiki Nakamura
Primary Neuroendocrine Tumor in Brain
Case Reports in Neurological Medicine
title Primary Neuroendocrine Tumor in Brain
title_full Primary Neuroendocrine Tumor in Brain
title_fullStr Primary Neuroendocrine Tumor in Brain
title_full_unstemmed Primary Neuroendocrine Tumor in Brain
title_short Primary Neuroendocrine Tumor in Brain
title_sort primary neuroendocrine tumor in brain
url http://dx.doi.org/10.1155/2014/295253
work_keys_str_mv AT ryotatamura primaryneuroendocrinetumorinbrain
AT yoshiakikuroshima primaryneuroendocrinetumorinbrain
AT yoshikinakamura primaryneuroendocrinetumorinbrain