Neoplastic spread after trauma: natural death or manslaughter?
We report an unusual death of a seemingly healthy 26-year-old man due to diffuse metastasization of adrenal paraganglioma caused by rupture of the primitive tumour with subsequent massive haemorrhage after a relatively minor trauma. Our report describes the results of forensic investigation and discusses the possible mechanisms of metastasization.
Ausania
Francesco
F
Institute of Legal Medicine, Catholic University of the Sacred Heart, Medical School, Largo F. Vito 1, Roma 00168, Italy.
De-Giorgio
Fabio
F
Valerio
Luca
L
Capelli
Arnaldo
A
Arena
Vincenzo
V
D000059:Accidents / Q000331:legislation & jurisprudence*; D000310:Adrenal Gland Neoplasms / Q000473:pathology*; D000328:Adult; D004617:Embolism / Q000473:pathology; D049429:Forensic Pathology; D006801:Humans; D008297:Male; D010235:Paraganglioma / Q000473:pathology*; D012421:Rupture / Q000209:etiology / Q000473:pathology; D014754:Violence; D014949:Wounds, Nonpenetrating / Q000150:complications*