Pineal metastasis as first clinical manifestation of colorectal adenocarcinoma: case report

Cerebral metastases from colorectal adenocarcinomas occur in 8% of the cases. Diagnosis is usually made when primary disease and widespread metastases are already known. We report the case of a patient with single metastases in the pineal region as the first clinical manifestation of a colorectal ad...

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Main Authors: RICARDO RAMINA, MAURÍCIO COELHO NETO, WAGNER M. MARIUSHI, WALTER O. ARRUDA
Format: Article
Language:English
Published: Thieme Revinter Publicações 1999-03-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1999000100018&tlng=en
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author RICARDO RAMINA
MAURÍCIO COELHO NETO
WAGNER M. MARIUSHI
WALTER O. ARRUDA
author_facet RICARDO RAMINA
MAURÍCIO COELHO NETO
WAGNER M. MARIUSHI
WALTER O. ARRUDA
author_sort RICARDO RAMINA
collection DOAJ
description Cerebral metastases from colorectal adenocarcinomas occur in 8% of the cases. Diagnosis is usually made when primary disease and widespread metastases are already known. We report the case of a patient with single metastases in the pineal region as the first clinical manifestation of a colorectal adenocarcinoma. A 48-year-old female with Parinaud's syndrome for 15 days prior her admission was evaluated in our clinic. She had no symptoms or signs of colorectal disease. MRI examination revealed an heterogeneous lesion with peritumoral gadolinium enhancement, located in the pineal region. The tumor was radically resected through an infratentorial/supracerebellar approach. Histology showed metastatic carcinoma and immunohistochemical examination showed gastrointestinal tract adenocarcinoma. Metastases to the pineal region are extremely rare and should be considered in the differential diagnosis of tumors of this region.
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series Arquivos de Neuro-Psiquiatria
spelling doaj-art-b7563998f7e340668d471c6d445979c32025-08-20T03:39:29ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42271999-03-01571929510.1590/S0004-282X1999000100018Pineal metastasis as first clinical manifestation of colorectal adenocarcinoma: case reportRICARDO RAMINA0MAURÍCIO COELHO NETOWAGNER M. MARIUSHIWALTER O. ARRUDA1Curitiba Skull Base FoundationCuritiba Skull Base FoundationCerebral metastases from colorectal adenocarcinomas occur in 8% of the cases. Diagnosis is usually made when primary disease and widespread metastases are already known. We report the case of a patient with single metastases in the pineal region as the first clinical manifestation of a colorectal adenocarcinoma. A 48-year-old female with Parinaud's syndrome for 15 days prior her admission was evaluated in our clinic. She had no symptoms or signs of colorectal disease. MRI examination revealed an heterogeneous lesion with peritumoral gadolinium enhancement, located in the pineal region. The tumor was radically resected through an infratentorial/supracerebellar approach. Histology showed metastatic carcinoma and immunohistochemical examination showed gastrointestinal tract adenocarcinoma. Metastases to the pineal region are extremely rare and should be considered in the differential diagnosis of tumors of this region.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1999000100018&tlng=enpineal tumorscerebral metastasescolorectal adenocarcinoma
spellingShingle RICARDO RAMINA
MAURÍCIO COELHO NETO
WAGNER M. MARIUSHI
WALTER O. ARRUDA
Pineal metastasis as first clinical manifestation of colorectal adenocarcinoma: case report
Arquivos de Neuro-Psiquiatria
pineal tumors
cerebral metastases
colorectal adenocarcinoma
title Pineal metastasis as first clinical manifestation of colorectal adenocarcinoma: case report
title_full Pineal metastasis as first clinical manifestation of colorectal adenocarcinoma: case report
title_fullStr Pineal metastasis as first clinical manifestation of colorectal adenocarcinoma: case report
title_full_unstemmed Pineal metastasis as first clinical manifestation of colorectal adenocarcinoma: case report
title_short Pineal metastasis as first clinical manifestation of colorectal adenocarcinoma: case report
title_sort pineal metastasis as first clinical manifestation of colorectal adenocarcinoma case report
topic pineal tumors
cerebral metastases
colorectal adenocarcinoma
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1999000100018&tlng=en
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