Adenocarcinoma of the prostate presenting initially as an intracerebral tumor.
BACKGROUND
The authors report a patient who was admitted to the hospital with neurologic symptoms and signs that were thought to be caused by a primary intracranial tumor.


METHODS
Craniotomy resulted in successful resection of an occipital lobe tumor reported histologically as a papillary adenocarcinoma, probably metastatic from the kidney. However, a complete diagnostic study failed to demonstrate the primary focus.


CONCLUSIONS
Thirteen months later, the patient was readmitted to the hospital and found to have metastatic prostatic carcinoma. Immunoperoxidase staining for prostatic acid phosphatase of the prostatic tissue and of the previously resected brain tumor tissue indicated that the brain lesion was metastatic from the prostate.
Kasabian
N G
NG
Department of Urology, Boston University Medical Center, Massachusetts.
Previte
S R
SR
Kaloustian
H D
HD
Ganem
E J
EJ
D000135:Acid Phosphatase / Q000032:analysis; D000231:Adenocarcinoma, Papillary / Q000737:chemistry / Q000000981:diagnostic imaging / Q000556:secondary*; D000368:Aged; D001932:Brain Neoplasms / Q000737:chemistry / Q000000981:diagnostic imaging / Q000556:secondary*; D002272:Carcinoembryonic Antigen / Q000032:analysis; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D011471:Prostatic Neoplasms / Q000097:blood / Q000737:chemistry; D013125:Spinal Neoplasms / Q000556:secondary; D014057:Tomography, X-Ray Computed
D002272:Carcinoembryonic Antigen; D000135:Acid Phosphatase