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Malignant Metastatic Carcinoid Presenting As Brain Tumor

Ilangovan Vijay Sundar, Sudhir Kumar Jain, Dhrubajyoti Kurmi, Rakesh Sharma, Sanjeev Chopra, Shashi Singhvi
Published 2016 · Medicine
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Carcinoid tumors are rarely known to metastasise to the brain. It is even more rare for such patients to present with symptoms related to metastases as the initial and only symptom. We present a case of a 60-year-old man who presented with hemiparesis and imaging features suggestive of brain tumor. He underwent surgery and the histopathology revealed metastatic malignant lesion of neuroendocrine origin. A subsequent work up for the primary was negative. Patient was treated with adjuvant radiotherapy. We present this case to highlight the pathophysiological features, workup and treatment options of this rare disease and discuss the methods of differentiating it from more common brain tumors.
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