[Pineal metastasis--a case report and a review of literature].
This is a report of a rare case of pineal metastasis from gastric adenocarcinoma. A 75-year-old male with a previous medical history of subtotal gastrectomy for cancer of the cardia was diagnosed as having hydrocephalus 6 months later. After undergoing a V-P shunt operation, he was transferred to Kyoto First Red Cross Hospital. The patient had neurological abnormalities: bilateral paralysis of upward eye movement, and bilateral sluggish reflex to light. Ten days later the patient suddenly fell into a coma due to intratumoral hemorrhage. The patient soon regained consciousness and received Cobalt-therapy. However he died two months later of pulmonary malfunction due to pulmonary metastasis. An autopsy revealed a pineal tumor metastasized from gastric adenocarcinoma. The tumor involved the body of the pineal gland, and was expanded having a sharply defined margin which extended to the posterior portion of the third ventricle and the bilateral basal ganglia.
Yanamoto
H
H
Department of Neurosurgery, Kyoto First Red Cross Hospital, Japan.
Kakita
K
K
Fukuma
S
S
D000230:Adenocarcinoma / Q000473:pathology / Q000556:secondary*; D000368:Aged; D001932:Brain Neoplasms / Q000473:pathology / Q000556:secondary*; D006801:Humans; D008297:Male; D010870:Pineal Gland / Q000473:pathology; D013274:Stomach Neoplasms