Metastatic Pineal Tumors: A Clinicopathologic Report of Two Cases

摘要: Metastasis to the lung from pineal tumor is known be exceedingly rare. However, among 13 fatal cases of which reached Army Inst i tute Pathology during World War I there were ~ in metastasis had occurred. Only 1 such case has been previously repor tedtha t Stowell, Sachs and Russell. 25 Their patient, a boy 15, ill for 3 weeks before.entering hospital. At operation large tumor, diagnosed as primary intracranial chorionepithelioma, was removed region. Death occurred approximately months after onset symptoms. On postmortem examination no tissue found, but many arenaceous bodies region where body normally present. The conclusion tha arose teratoma its chorionepitheliomatous portion grew rapidly at expense other elements, destroying original body. invaded superior sagittal sinus blood vessels, metastasized all lobes both lungs. tumors extracrauial structures also infrequent. This mode spread usually by way stream or lymphatics, both, will bc noted following examples gathered literature: basophil adenocarcinoma hypophysis with metastases liver; chromophobe cell carcinoma liver hepatic lymph nodes; s liver, kidneys, urinary bladder, uterus, vagina para-aortic It benign adcnoma bones; 27 malignant mixed chromophile hypophysial cervical 9 large-cell nodes, lungs pleura ;3 sarcomatous mcningioma 12 meningioma one lungs; 5,s,~5,1~,28 meningioma, cases, 1) lungs, pleura, abdominal lumbar vertebra, ~) lung, mediastinum, 3) pleura; 21 hemangioblastoma hilus medulloblastoma subcutaneous over sternum; 23 vertebrae; ~9 spongioblastoma multiforme shoulder arm; 7 glioblastoma ~7 astroblastoma thoracic vertebrae, ribs, peribronchial 24 probable atypical oligodendroglioma neck. 2~