Malignant cerebrovascular thromboembolization by phaechromocytoma.
We describe an unusual case of malignant thromboembolization within the aortic arch of a 56-year-old man who presented with a stroke. The uncommon source of this malignant embolus was an adrenal phaeochromocytoma which had permeated the inferior vena cava, metastasized into the pleural cavity and colonized the intimal surfaces of the aortic arch and carotid vessels. The relevant literature has been briefly reviewed.
Raghavan
R
R
Department of Neuropathology, Newcastle General Hospital, England.
Ince
P G
PG
Walls
T J
TJ
Gholkar
A
A
Dark
J H
JH
Foster
J B
JB
D000310:Adrenal Gland Neoplasms / Q000473:pathology*; D001013:Aorta, Thoracic / Q000473:pathology*; D017536:Carotid Artery, Common / Q000473:pathology; D002536:Cerebral Arteries / Q000473:pathology; D002544:Cerebral Infarction / Q000473:pathology*; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000473:pathology*; D008297:Male; D008854:Microscopy, Electron; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D010673:Pheochromocytoma / Q000473:pathology / Q000556:secondary*; D010994:Pleura / Q000473:pathology; D010997:Pleural Neoplasms / Q000473:pathology / Q000556:secondary*; D013923:Thromboembolism / Q000473:pathology*