Metastatic carcinoid tumor in the brain

The case presented describes a metastatic carcinoid in the cerebral hemisphere of a 52-year-old woman. The onset of the disease was in the form of stroke, CT-examination showed hemorrhagic focus and edema. A craniotomy was carried out and the lesion was removed. Histological diagnosis stated that the tumor was a carcinoid accompanied by a massive hemorrhage. Two and a half months later, another CT-examination revealed a second tumor in proximity to the site of operation, which was then treated palliatively by means of Co 60 radiation. The patient died 1.5 months later. General autopsy showed two other neoplastic tumors: a smaller one in the left lung and a bigger one (possible primary) in the stomach. In the report special attention was paid to an unusual cellular polymorphism especially prominent in the tumor formerly irradiated.