[Squamous cell carcinoma of the lung metastasized solitary cystic formation in the cerebellum].
A 54-year-old male previously diagnosed as having a lung squamous cell carcinoma T2N2M0 in stage III A was readmitted to our hospital, as he was complaining of a gait disturbance. A brain CT, an MRCT scan, and vertebral arteriography revealed that the lung carcinoma had metastasized as a solitary cystic formation in the right cerebellum. Thus, a craniotomy, a cyst fluid aspiration, and tumoral resection was performed. Histopathological findings of the cyst wall indicated a squamous cell carcinoma, and the protogram of the cyst fluid found it similar to that of the serum. These findings suggest that destruction of the blood-brain-barrier by the invasion of the carcinoma caused an exudation of serum, resulting in the accumulation of cyst fluid.
2nd Dept. of Int. Med., Nara Medical Univ.
K
K
Fukuoka
H
H
Katada
Y
Y
Kounoike
M
M
Sawaki
N
N
Narita
K
K
Nagata
K Y
KY
Kenn
K
K
Kyoui
S
S
Utsumi
D001826:Body Fluids / Q000032:analysis; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary*; D002528:Cerebellar Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary*; D002533:Cerebral Angiography; D003560:Cysts / Q000000981:diagnostic imaging / Q000378:metabolism / Q000473:pathology*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed